Form ID

Publication date

Location of premises

Certificate

Removals, Storm Drain and Granular Roadbase

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Inn Services Inc.
Address of Owner
P.O. Box 113, Talbotville, ON N0L 2K0
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jetstream Road, P.O. Box 189, London, ON N6A 4V7
Name of Certifier
Cyril J. Demeyere Limited
Address of Certifier
P.O. Box 606, 261 Broadway, Tillsonburg, ON N4G 4J1

Identification of Premises

Dalewood Meadows Subdivision, Phase1/Ron McNeil Road Widening