Form ID

Publication date

Location of premises

Certificate

No. 1 Sideroad culvert replacement, Contract 99-11.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington.
Address of Owner
426 Brant Street, P.O. Box 5013, Burlington, ON L7R 3Z6.
Name of Contractor
Geo. Barnes & Sons Ltd.
Address of Contractor
RR 2, Lowbanks, ON N0A 1K0.
Name of Certifier
Ken Pilatzke, Project Leader, Design and Â鶹´«Ã½¸ßÇåion.
Address of Certifier
As owner.

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

Owner - Address as above.
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