Form ID

Publication date

Location of premises

Certificate

Van Gurp Subdivision - Holland Avenue and Anne Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Van Gurp Construction
Address of Owner
R.R. #1, 504332 Yorke Line, Belmont, ON N0L 1B0
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Spriet Associates London Limited
Address of Certifier
155 York Street, London, ON N6A 1A8

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

Spriet Associates London Limited