Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Sarnia
Address of Owner
255 N Christina Street, P.O. Box 3018, Sarnia, ON N7T 7N2
Name of Contractor
JMR Electric LTD.
Address of Contractor
301 Thames Road East, Exeter, ON N0M 1S3
Name of Certifier
The Corporation of the City of Sarnia
Address of Certifier
255 N Christina Street, P.O. Box 3018, Sarnia, ON N7T 7N2

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

Clerk's Office, Attention: Dianne Gould-Brown, City of Sarnia, 255 N. Christina Street, Sarnia, ON N7T 7N2