Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Hamilton
Address of Owner
77 James Street North, Suite 400, Hamilton, ON L8R 2K3
Name of Contractor
Triple Crown Enterprises Ltd.
Address of Contractor
665 Parkdale Ave. N, Hamilton, ON L8H 5Z1
Name of Certifier
Jim Collins, 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, City Hall, 71 Main Street West, Hamilton, Ontario L8P 4Y5