Form ID

Publication date

Location of premises

Certificate

Underground Servicing, Granular Road Base and Stormwater Management Facility Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jackson Summerside Land Corp., City of London
Address of Owner
1135 Adelaide Street North, London, ON N5Y 2N4; 300 Dufferin
Name of Contractor
Van Bree Drainage and Bulldozing Limited
Address of Contractor
R.R. #6, Forest, ON N0N 1J0
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above