Form ID

Publication date

Location of premises

Certificate

Dalewood Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Municipality of Central Elgin
Address of Owner
450 Sunset Dr., 1st Floor, St. Thomas, ON N5R 5V1
Name of Contractor
Bre-Ex Limited
Address of Contractor
247 Exeter Road, London, ON N6L 1A5
Name of Certifier
Dillon Consulting Limited per Gary W. Hergott, CET
Address of Certifier
PO Box 426, London, ON N6A 4W7

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

The Municipality of Central Elgin, 450 Sunset Dr., 1st Floor, St. Thomas, ON N5R 5V1 Attention