Form ID

Publication date

Location of premises

Certificate

Sewer, watermain and road reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg
Address of Owner
200 Broadway, 2nd Floor, Town Center Mall, Tillsonburg, ON N
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Corporation of the Town of Tillsonburg, Operations Services
Address of Certifier
10 Lisgar Avenue, Tillsonburg, ON N4G 5A5

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

Corporation of the Town of Tillsonburg, 200 Broadway, 2nd Floor, Town Center Mall, Tillsonburg, ON N4G 5A7