Form ID

Publication date

Location of premises

Certificate

Construction of Blythwood Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Drewlo Holdings Inc.
Address of Owner
R.R. #3, Komoka, ON N0L 1R0.
Name of Contractor
Drewlo Holdings Inc.
Address of Contractor
Same as above
Name of Certifier
David J. Whitney M.Eng., P.Eng.
Address of Certifier
630 Colborne Street, London, ON N6B 2V2

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

Whitney Engineering Inc., 630 Colborne Street, London, ON N6B 2V2