Form ID

Publication date

Location of premises

Certificate

Resurfacing 08-255

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of St. Thomas
Address of Owner
PO Box 520, St. Thomas, ON N5P 3V7
Name of Contractor
TCG Asphalt and Construction Inc.
Address of Contractor
2200 Jetstream Road, London, ON N6A 4V7
Name of Certifier
Peter Hegler, MASc., P.Eng.
Address of Certifier
City of St. Thomas, P.O. Box 520, City Hall, St. Thomas, ON

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

Office of the City Clerk, City Hall, PO Box 520, St. Thomas, ON N5P 3V7