Form ID

Publication date

Location of premises

Certificate

Kipps Lane Reconstruction, Meander Creek Subdivision, London, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Crich Holdings and Building Inc.
Address of Owner
151 Pine Valley Blvd., London, ON N6K 3T6
Name of Contractor
291 Construction Ltd.
Address of Contractor
P.O. Box 22037, London, ON N6C 4P8.
Name of Certifier
Development Engineering (London) Limited.
Address of Certifier
361 Dufferin Ave., London, ON N6B 1Z5.

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

Address as above.