Form ID

Publication date

Location of premises

Certificate

2006 Supply & Apply Surface Treatment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Munc. of Central Elgin
Address of Owner
450 Sunset Dr., St. Thomas, ON N5R 5V1
Name of Contractor
MSO Construction Limited
Address of Contractor
175 Bethridge Rd., Etobicoke, ON M9W 1N4
Name of Certifier
Lloyd J. Perrin
Address of Certifier
450 Sunset Dr., St. Thomas, ON N5R 5V1

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

450 Sunset Dr., St. Thomas, ON N5R 5V1