Certificate of Completion
I __________________ [name of payment certifier], of _______________________ [address],
British Columbia certify that, for the purposes of the Builders' Lien Act, the following
contract or subcontract was completed on _______________ [month, day, year]
Street address or other description of the land affected by the improvement:
Brief description of the improvement:
Brief description of the contract or subcontract, including the date of the contract and the names of the parties to it:
Signed: ___________________ [signature of payment certifier] _______________ [month, day, year]