Form ID

Publication date

Location of premises

Certificate

College Street Bridge Rehabilitation / Contract No. 02-03.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Belleville.
Address of Owner
169 Front Street, Belleville, Ont. K8N 2Y8.
Name of Contractor
Underground Services (1983) Ltd.
Address of Contractor
135 Commercial Rd., Bolton, ON L7E 1R6

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

169 Front Street, Belleville, Ont. K8N 2Y8 (Attn