Form ID

Publication date

Location of premises

Certificate

County Road 20 Reconstruction - Union Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Elgin
Address of Owner
450 Sunset Dr., St. Thomas, ON N5R 5V1
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jetstream Road, London, ON N6A 4V7
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

450 Sunset Dr., St. Thomas, ON N5V 5V1