Form ID

Publication date

Location of premises

Certificate

Construction of Walker Drain Improvement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Thames Centre
Address of Owner
4305 Hamilton Road, Dorchester, ON N0L 1G3
Name of Contractor
C.H. Excavating (London) Ltd.
Address of Contractor
4201 Blakie Road, London, ON N6L 1B9
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
332 Lorne Ave., E., Stratford, ON N5A 6S4

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

Addresses as above