Form ID

Publication date

Location of premises

Certificate

Flying J Travel Plaza, External Works, Contract 9603.07-01 Highbury Avenue and Wilton Grove Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Flying J Inc. City of London
Address of Owner
9 West Forest Street, Brigham City, Utah 84302 300 Dufferin
Name of Contractor
Bre-Ex Limited.
Address of Contractor
247 Exeter Road, London, ON N6L 1A5
Name of Certifier
MIG Consulting Engineers
Address of Certifier
630 Wharncliffe Rd S., Unit 3, London, ON N6J 4V7

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

City of London, 300 Dufferin Ave, PO Box 5035, London, ON N6A 4L9