Form ID

Publication date

Location of premises

Certificate

Tillsonburg Hospital Parking Lot Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tillsonburg District Memorial Hospital
Address of Owner
167 Rolph Street, Tillsonburg, ON N4G 3Y9
Name of Contractor
Sierra Construction (Woodstock) Inc.
Address of Contractor
1401 Dundas Street, Woodstock, ON N4S 8X8
Name of Certifier
Delcan Corporation
Address of Certifier
1069 Wellington Road South, #214, London, ON N6E 2H6

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

167 Rolph Street, Tillsonburg, ON N4G 3Y9