Form ID

Publication date

Location of premises

Certificate

Earth Excavation & Grading, Curb & Gutter and Asphalt on St. John’s Drive, Arva Street and Weldon Ave.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Middlesex Centre
Address of Owner
10227 Ilderton Rd., R.R. #2, Ilderton, ON N0M 2A0
Name of Contractor
Ro-Buck Contracting Limited.
Address of Contractor
2326 Fanshawe Park Road East, London, ON N5X 4A2
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road East, London, ON N6E 1A2

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

Township of Middlesex Centre, 10227 Ilderton Road, R.R. #2, Ilderton, ON N0M 2A0