Form ID

Publication date

Location of premises

Certificate

Site Servicing up to and including base course asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Riverbend (Stratford) Development Corporation
Address of Owner
89 Lorne Avenue East, PO Box 1010, Stratford, ON N5A 6W4
Name of Contractor
Blue-Con Construction
Address of Contractor
1915 Crumlin Side Road, London, ON N5V 3B8
Name of Certifier
IBI Group
Address of Certifier
105 Lexington Road, Unit 17, Windsor, ON N2J 4R7

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

89 Lorne Avenue East, PO Box 1010, Stratford, ON N5A 6W4