Form ID

Publication date

Location of premises

Certificate

Phase 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Crich Holdings and Building Inc.
Address of Owner
640 Colborne St., London ON N6B 2V2
Name of Contractor
Crich Holdings
Address of Contractor
640 Colborne St. London, ON N6B 2V2
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above