Form ID

Publication date

Location of premises

Certificate

Project Name: Our Lady of Fatima New Exterior Wall Assembly, Universal Washroom and Water Service Project Number: 619-CP1835

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
St. Clair Catholic District School Board
Address of Owner
545 Baldoon Road, Chatham, ON
Name of Contractor
Elmara Construction Co. Limited
Address of Contractor
5365 Walker Road, Tecumseh, ON
Name of Certifier
Randy R. Wilson, B. F. A., M.E.Des., M.R.A.I.C.
Address of Certifier
280 Queens Ave., Suite 1Q, London, ON N6B 1X3

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

420 Creek St. Wallaceburg, ON. N8A 4C4