Form ID

Publication date

Location of premises

Certificate

Condensate Tank Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
St. Thomas Elgin General Hospital
Address of Owner
189 Elm Street, St. Thomas ON N5R 5C4
Name of Contractor
Besterd Mechanical
Address of Contractor
1070 Wilton Grove Road, London, ON N6N 1C6
Name of Certifier
Chorley & Bisset Ltd.
Address of Certifier
2B - 369 York Street, London, ON N6B 3R4

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

189 Elm Street St. Thomas ON N5R 5C4