Form ID

Publication date

Location of premises

Certificate

Thamesford Road, Sewer and Water Phase 6

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Zorra
Address of Owner
274620 27th Line, Box 306, Ingersoll, ON N5C 3K5
Name of Contractor
L-82 Construction Ltd.
Address of Contractor
15 Hamley Road, London, ON N6E 3T8
Name of Certifier
Spriet Associates London Limited
Address of Certifier
155 York Street, London, ON N6A 1A8

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

Address as listed above