Form ID

Publication date

Location of premises

Certificate

Surface asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bilmar Developments Corp.
Address of Owner
PO Box 118, Komoka, ON N0L 1R0.
Name of Contractor
TCG Materials Limited.
Address of Contractor
P.O. Box 189, London, ON N6A 4V7.
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
171 Queens Avenue, 8th Floor, London, ON N6A 5J7.

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

Bilmar Developments Corp., PO Box 118, Komoka, ON N0L 1R0.