Form ID

Publication date

Location of premises

Certificate

LCC Plaza Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
LCC London LP
Address of Owner
380 Wellington Road
Name of Contractor
EllisDon Corporation
Address of Contractor
2045 Oxford Street East, London, ON
Name of Certifier
NEO Architecture Inc.
Address of Certifier
1-243 King Street East, Kitchener, ON

Identification of Premises

380 Wellington Road, London

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

As Per Part A