Form ID

Publication date

Location of premises

Certificate

Port Burwell Public School Proposed Parking Lot Project No. 1819-13A-1530

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Thames Valley District School Board
Address of Owner
Facility Services Department, 951 Leathorne Street, London, ON N5Z 3M7
Name of Contractor
598424 Ontario Ltd. O/A R. Russell Construction
Address of Contractor
4605 Woodhull Road, London, ON N6P 1P3
Name of Certifier
Cameron Gorrie
Address of Certifier
171 Queens Avenue, 6th Floor, London, ON N6A 5J7

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

Facility Services Department, 951 Leathorne Street, London, Ontario, N5Z 3M7