Form ID

Publication date

Location of premises

Certificate

Hazardous Storage & Health Nurse’s Office, Bldg. “D-1028”, Project No. 01-547.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fanshawe College.
Address of Owner
1460 Oxford Street East, London, Ont. N5Y 5R6.
Name of Contractor
668950 Ontario Limited o/a Mycon Construction Inc.
Address of Contractor
1615 North Routledge Park, Unit 9, London, ON N6H 5L6
Name of Certifier
Marsh Katsios Architect.
Address of Certifier
4-520 Wellington St., London, Ont. N6A 3R2.

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

1460 Oxford Street East, London, Ont. N5Y 5R6 Fanshawe College, 1460 Oxford Street East, London, Ont. N5Y 5R6.