Form ID

Publication date

Location of premises

Certificate

Clarke Road Widening 150 m north to 100 m south of Atlantic Court.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Z Group.
Address of Owner
1135 Adelaide Street N., London, Ontario N5Y 2N4.
Name of Contractor
Fortese Concrete Ltd.
Address of Contractor
3948 Malpass Road, London, Ontario N6B 1E8.
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