Form ID

Publication date

Location of premises

Certificate

Gabion Replacement Stratford Flood Control Channel RT Orr Dam and Mitchell Dam

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Upper Thames Conservation Authority
Address of Owner
1424 Clarke Road, London, ON N5V 5B9
Name of Contractor
R & M Construction
Address of Contractor
254 Main St. North, Acton, ON L7J 1W9
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
332 Lorne Ave. E., Stratford, ON N5A 6S4

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

Addresses as above