Form ID

Publication date

Location of premises

Certificate

Rural Intersection Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
300 Dufferin Avenue, London, ON N6A 4L9
Name of Contractor
598424 Ontario Ltd. o/a R Russell Construction
Address of Contractor
P.O. Box 111, Lambeth Stn.
Name of Certifier
Corporation of the City of London
Address of Certifier
300 Dufferin Avenue, London, ON N6A 4L9

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

Corporation of the City of London