Form ID

Publication date

Location of premises

Certificate

Belmont Road Watermains

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Central Elgin
Address of Owner
450 Sunset Drive, 1st Floor, St. Thomas, ON N5R 3R8
Name of Contractor
Elgin Construction
Address of Contractor
140 Burwell Road St. Thomas, ON N5P 3R8
Name of Certifier
Dillon Consulting Limited
Address of Certifier
PO Box 426, London, ON N8A 4W7

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

Municipality of Central Elgin c/o Lloyd Perrin, Director of Physical Services, 450 Sunset Drive, 1st Floor, St. Thomas, ON N5R 5V1