Form ID

Publication date

Location of premises

Certificate

Lounge & Flooring Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London & Middlesex Housing Corporation
Address of Owner
379 Dundas St., London, ON N6B 1V5
Name of Contractor
Bob Fenlon Construction Ltd.
Address of Contractor
59 Young St., Delaware, ON N0L 1E0
Name of Certifier
T. Caldera Per London & Middlesex Housing Corporation
Address of Certifier
Same as owner

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

379 Dundas St., Suite 207, London, ON N6B 1V5