Form ID

Publication date

Location of premises

Certificate

Contraact T02-013 - Storm and Sanitary Sewers, Watermain, Curb and Gutter, Sidewalk and Asphalt Pavement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener.
Address of Owner
200 King Street West, Kitchener, Ont. N2G 4G7.
Name of Contractor
Steed & Evans Ltd.
Address of Contractor
300 Bridge Street East, Kitchener, Ont. N2K 2B7.
Name of Certifier
Hans N. Gross, P. Eng.
Address of Certifier
as owner.

Identification of Premises

Samuel Street & Rose Street (Krug St. to Cameron St.).

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

City Clerks Division, 200 King Street West, 2nd Floor, Kitchener, Ont. N2G 4G7.