Form ID

Publication date

Location of premises

Certificate

Hot Mix Paving North Broadway - Hwy. 19, Bidwell St. and London St. Area.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Tillsonburg.
Address of Owner
200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7.
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jet Stream Road, London, ON N6A 4X7.
Name of Certifier
Cyril J. Demeyere Limited.
Address of Certifier
261 Broadway, Box 606, Tillsonburg, ON N4G 4J7.

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

Town of Tillsonburg.