Form ID

Publication date

Location of premises

Certificate

Kilally Glen Subdivision - Phase 1 - Underground Servicing up to and including Granular B.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Drewlo Holdings Inc.
Address of Owner
RR 3, Komoka, ON N0L 1R0.
Name of Contractor
Classic Excavating Inc.
Address of Contractor
1752 Donnybrook Drive, Dorchester, ON N0L 1G5.
Name of Certifier
Delcan Corporation.
Address of Certifier
1069 Wellington Road South, Suite #214, London, ON N6E 2H6.

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

RR 3, Komoka, Ontario N0L 1R0.