Form ID

Publication date

Location of premises

Certificate

Replacement of Sidewalks, Curb and Gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
PO Box 5035, London, ON N6A 4L9
Name of Contractor
Ro-Buck Contracting Limited
Address of Contractor
2326 Fanshawe Park Road East, London, ON N5X 4A2
Name of Certifier
Rick Pedlow
Address of Certifier
PO Box 5035, London, ON N6A 4L9

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

City Clerks Department c/o Corporation of the City of London