Form ID

Publication date

Location of premises

Certificate

Road Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Waterloo.
Address of Owner
265 Lexington Court, Waterloo, ON N2J 4A8.
Name of Contractor
969774 Ontario Ltd.
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8.
Name of Certifier
Cumming Cockburn Limited.
Address of Certifier
180 King St. S., Suite 140, Waterloo, ON N2J 1P8..

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

City of Waterloo, 265 Lexington Court, Waterloo, ON N2J 4A8.