Form ID

Publication date

Location of premises

Certificate

Sewer Maintenance - Internal Spot Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
P.O. Box 5035, London, ON N6A 4L9
Name of Contractor
D.M. Robichaud Associates Limited
Address of Contractor
627A Wentworth Street East, Oshawa, ON L1H 3V8
Name of Certifier
Rick Pedlow
Address of Certifier
P.O. Box 5035, London, ON N6A 4L9

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

City Clerks Department c/o Corporation of the City of London