Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Sarnia
Address of Owner
255 N Christina Street, P.O. Box 3018, Sarnia, ON N7T 7N2
Name of Contractor
JBL Construction
Address of Contractor
P.O. Box 429, Bright's Grove, ON N0N 1C0
Name of Certifier
The Corporation of the City of Sarnia
Address of Certifier
255 N Christina Street, P.O. Box 3018, Sarnia, ON N7T 7N2

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

Clerk's Office, Attention: Dianne Gould-Brown, City of Sarnia, 255 N. Christina Street Sarnia, ON, N7T 7N2