Form ID

Publication date

Location of premises

Certificate

Elevator Modernization

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Strathroy Middlesex General Hospital
Address of Owner
395 Carrie St., Strathroy, ON
Name of Contractor
Thyssen Dover Elevator
Address of Contractor
Suite 133, 4096 Meadowbrook, London
Name of Certifier
Charles W. Crow
Address of Certifier
Smylie & Crow Assoc. Inc. Engineers, 93 Dufferin Ave., L

Identification of Premises

S.M.G.H., 395 Carrie St., Strathroy, ON

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

S.M.G.H., 395 Carrie St., Strathroy, ON