Form ID

Publication date

Location of premises

Certificate

Domestic Hot Water & Heating Boiler Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London & Middlesex Housing Corporation
Address of Owner
1194 Commissioners Rd. W., London, ON
Name of Contractor
London Mechanical Plumbing & Heating
Address of Contractor
3392 Wonderland Road South, Building 6, Unit #3, London, ON
Name of Certifier
London & Middlesex Housing Corp.
Address of Certifier
379 Dundas Street, Suite 207, London, ON

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

379 Dundas Street, Suite 207, London, ON