Form ID

Publication date

Location of premises

Certificate

Supply & Lay Hot Mix Asphalt (Contract 99-01)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London.
Address of Owner
PO Box 5035, London, ON N6A 4L9.
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jet Stream Road, Box 189, London, ON N6A 4V7.
Name of Certifier
City of London.
Address of Certifier
PO Box 5035, London, ON N6A 4L9.

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

City Clerks Department, c/o Corporation of the City of London.