Form ID

Publication date

Location of premises

Certificate

Fuel Oil Tank Removal and Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
West Lincoln Memorial Hospital
Address of Owner
169 Main Street East, Grimsby, ON L3M 1P3
Name of Contractor
Black & McDonald Limited
Address of Contractor
158 South Service Road, Stoney Creek, ON L8E 3H6

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

West Lincoln Memorial Hospital, 169 Main Street East, Grimsby, ON L3M 1P3