Form ID

Publication date

Location of premises

Certificate

County Road #81 (Center Road) Municipal Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Adelaide Metcalfe
Address of Owner
2340 Egremont Drive, R.R. #5, Strathroy, ON N7G 3H6
Name of Contractor
Henry Heyink Construction Limited
Address of Contractor
Box 1341, 275 Colborne Street, Chatham, ON N7M 5R9
Name of Certifier
Spriet Associates London Limited
Address of Certifier
155 York Street, London, ON N6A 1A8

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

Township of Adelaide Metcalfe