Form ID

Publication date

Location of premises

Certificate

Project 06-08-288 Pinafore Park Service Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of St. Thomas
Address of Owner
P.O. Box 520, City Hall, 545 Talbot Street, St. Thomas, ON N
Name of Contractor
Tri-Con Excavating Inc.
Address of Contractor
894 Railton Avenue, London, ON N5V 4V9
Name of Certifier
Ivar Andersen, P. Eng.
Address of Certifier
As owner

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

Office of the City Clerk, P.O. Box 520, City Hall, 545 Talbot Street, St. Thomas, Ontario N5P 3V7