Form ID

Publication date

Location of premises

Certificate

Florence Street Sidewalk

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Western Fair Association
Address of Owner
900 King Street, P.O. Box 4550, London, ON N5W 5K3
Name of Contractor
Ro-Buck Contracting Ltd.
Address of Contractor
2326 Fanshawe Park Road East, London, ON N5X 4A2
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above