Form ID

Publication date

Location of premises

Certificate

Earthworks, Watermains, Storm & Sanitary Sewers and Roadworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dick Masse Homes Ltd.
Address of Owner
P.O. Box 158, 17606 Thorndale Road, Thorndale, ON N0M 2P0
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road, East, London, ON N6E 1A2

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

Dick Masse Homes Ltd., P.O. Box 158, 17606 Thorndale Road, Thorndale, ON N0M 2P0