Form ID

Publication date

Location of premises

Certificate

Ventilation building for underground storm sewer.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Z Group.
Address of Owner
1135 Adelaide Street North, Third Floor, London, ON N5Y 5K6.
Name of Contractor
Elgin Construction - 969774 Ontario Limited.
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8.
Name of Certifier
Delcan Corporation.
Address of Certifier
214-1069 Wellington Road South, London, ON N6E 2H6.

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

1135 Adelaide Street North, Third Floor, London, ON N5Y 5K6.