Form ID

Publication date

Location of premises

Certificate

Adelaide Street Road Widening Hamilton Road to Thompson Road.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London.
Address of Owner
300 Dufferin Ave., London, ON N6A 4L9.
Name of Contractor
Omega Contractors.
Address of Contractor
4104 Breck Ave., London, Ont. N6L 1B5.
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.