Form ID

Publication date

Location of premises

Certificate

University of Western Ontario Project No. 1548 - Various Sidewalk Repairs/ Project No. 1561 - Road Repairs.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
University of Western Ontario.
Address of Owner
1151 Richmond Street, London, ON N6A 5B8.
Name of Contractor
Ro-Buck Contracting Ltd.
Address of Contractor
2326 Fanshawe Park Road East, London, Ont. N5X 4A2.
Name of Certifier
Development Engineering (London) Limited.
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5.

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

Addresses as above.