Form ID

Publication date

Location of premises

Certificate

Site Servicing Contract

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liberty Developments
Address of Owner
303-252 Pall Mall Street, London, ON N6A 5P6
Name of Contractor
Blue-Con Inc.
Address of Contractor
1915 Crumlin Side Road, London, ON N5V 3B8
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above