Form ID

Publication date

Location of premises

Certificate

Reconstruction of John and North Street.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Brock.
Address of Owner
1 Cameron St. E., Box 10, Cameron, ON L0E 1E0.
Name of Contractor
Esposito Bros. Construction.
Address of Contractor
14 Essex Avenue, Unit 22, Thornhill, Ontario L3T 3Z1.
Name of Certifier
Totten Sims Hubicki Associates (1997) Limited.
Address of Certifier
300 Water Street, Whitby, ON L1N 9J2.

Office to which claim for lien must be given to preserve lien

Municipal Office, Township of Brock.