Form ID

Publication date

Location of premises

Certificate

Kilally Glen Subdivision - Phase 1C-1 Underground Servicing Up to and Including granular ‘B’.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Drewlo Holdings Inc.
Address of Owner
R.R. #3, Komoka, ON N0L 1R0.
Name of Contractor
Drewlo Construction Limited.
Address of Contractor
R.R. #3, Komoka, ON N0L 1R0.

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

R.R. #3, Komoka, ON N0L 1R0.