Form ID

Publication date

Location of premises

Certificate

Thomas Street Pumping Station Contract No. 2005-10

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brockville
Address of Owner
Victoria Building, 1 King Street West, P.O. Box 5000, Brockv
Name of Contractor
Louis W. Bray ºÚÁÏÉçion Limited
Address of Contractor
17460 Cameron Road, St. Andrews West, ON K0C 2A0
Name of Certifier
P.E. Raabe, P. Eng., Municipal Engineer
Address of Certifier
Same as Owner

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

Owner
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