Form ID

Publication date

Location of premises

Certificate

Contract No. O99-08 for the construction of erosion protection works at the following location: Harmony Creek Branch 3 (Northerly from Cavendish Court).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa.
Address of Owner
50 Centre St. S., Oshawa, ON L1H 3Z7.
Name of Contractor
R & M Construction.
Address of Contractor
262 Main Street, Acton, ON L7J 1W9.
Name of Certifier
M.J. Sims, P.Eng.
Address of Certifier
As above.

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

Owner at above address.