Form ID

Publication date

Location of premises

Certificate

Gymnasium Floor Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Thames Valley District School Board
Address of Owner
1250 Dundas St., London, ON N6A 5L1
Name of Contractor
Gym-Con Ltd.
Address of Contractor
33 Alliance Blvd., Unit #11, Barrie, ON L4M 5K2
Name of Certifier
Pow Peterman Consulting Engineers
Address of Certifier
50 Savanah Cres., Ingersoll, ON N5C 3J7

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

250 Dundas St., London, ON N6A 5L1