Form ID

Publication date

Location of premises

Certificate

600 Dia. Watermain on Crestwood Drive

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
300 Dufferin Ave., London, ON N6 4L9
Name of Contractor
291 Construction Ltd.
Address of Contractor
P.O. Box 22037, London, ON N6C 4P8
Name of Certifier
Whitney & Associates, David J. Whitney M.Eng. P.Eng.
Address of Certifier
48 Scottsdale Street, London, ON N6P 1C7

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

48 Scottsdale St., London, ON N6P 1C7