Form ID

Publication date

Location of premises

Certificate

West Park Drive Reconstruction in Parkhill Form of Tender 'A' and Form of Tender 'B'

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of North Middlesex
Address of Owner
229 Main Street, P.O. Box 9, Parkhill, ON N0N 2K0
Name of Contractor
Elgin Construction
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
Dillon Consulting Limited
Address of Certifier
P.O. Box 426, London, ON N6A 4W7, 130 Dufferin Avenue, Suite

Identification of Premises

West Park Drive Reconstruction in Parkhill Municipaltiy of Middlesex

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

The Municipality of North Middlesex, 229 Main Street, P.O. Box 9, Parkhill, Ontario N0M 2K0