Form ID

Publication date

Location of premises

Certificate

Contract No: 99-103, Contract Title: Highland Road West Reconstruction (Carlson to Second Rd. W.).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Stoney Creek.
Address of Owner
777 Hwy. 8, Box 9940, Stoney Creek, Ont.
Name of Contractor
969774 Ontario Limited.
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8.
Name of Certifier
M. Paul Cripps, P. Eng., City Engineer.
Address of Certifier
777 Hwy. 8, Box 9940, Stoney Creek, Ont.

Identification of Premises

City of Stoney Creek, 777 Hwy #8, Box 9940, Stoney Creek, Ont. L4G 4N9.

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

Lisa Barroso, Acting City Clerk.