Form ID

Publication date

Location of premises

Certificate

Mihalco Subdivision - Phase 2

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
538563 Ontario Ltd.
Address of Owner
19239 Fargo Road, PO Box, Blenheim, ON N0P 1A0
Name of Contractor
Clarke Construction Inc.
Address of Contractor
342 Chatham Street South, Blenheim, ON N0P 1A0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
10 Fifth Street South, Chatham, ON N7M 4V4

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

538563 Ontario Ltd.