Form ID

Publication date

Location of premises

Certificate

Fire Station #5

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
300 Dufferin Ave., London, ON
Name of Contractor
JMR Electric
Address of Contractor
301 Thames Rd. E., Exeter, ON
Name of Certifier
Callidus Engineering Inc.
Address of Certifier
9-1385 North Routledge Park, London, ON

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

The Corporation of the City of London, 300 Dufferin Ave, London, ON