Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
77 James St. N., Suite 320, Hamilton, ON L8R 2K3
Name of Contractor
King Paving and Construction Company
Address of Contractor
3385 Harvester Road, Burlington, ON L7N 3N2
Name of Certifier
Ian McQueen, C.E.T., Project Manager
Address of Certifier
77 James St. N., Suite 320, Hamilton, ON L8R 2K3

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

City Clerk's Department, 71 Main Street West, Hamilton, Ontario L8P 4Y5