Form ID

Publication date

Location of premises

Certificate

Oxford Street Widening - Surface Works at Summit Avenue

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London Muslim Mosque
Address of Owner
157 Oxford St. W., London, ON N6H 1S3
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jetstream Road, PO Box 189, London, ON N6A 4V7
Name of Certifier
Development Engineerin (London) Limited
Address of Certifier
361 Dufferin Ave., London, ON N6B 1Z5

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

Addresses as above