Form ID

Publication date

Location of premises

Certificate

Site Servicing for Trunk Sanitary Sewer Rivers Edge Subdivision.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Middlesex Centre.
Address of Owner
R.R. #2, Ilderton, Ont. N0M 2A0.
Name of Contractor
Classic Excavating Inc.
Address of Contractor
1752 Donnybrook Drive, Dorchester, ON N0L 1G5
Name of Certifier
Development Engineering (London) Limited.
Address of Certifier
361 Dufferin Avenue, London, Ont. N6B 1Z5.

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

Addresses as above.