Form ID

Publication date

Location of premises

Certificate

King Street Extension & Watermain Looping.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Middlesex Centre.
Address of Owner
R.R. #2, 10227 Ilderton Road, Ilderton, ON N0M 2A0.
Name of Contractor
Blue-Con Inc.
Address of Contractor
1915 Crumlin Side Road, London, ON N5V 3B8.
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road East, London, ON N6E 1A2.

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

Township of Middlesex Centre, R.R. #2, 10227 Ilderton Road, Ilderton, ON N0M 2A0.