Form ID

Publication date

Location of premises

Certificate

St. Julien Park Modular Skatepark

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
300 Dufferin Avenue, London, ON N6B 1Z2
Name of Contractor
H.C. & C. General Contracting
Address of Contractor
25-340 Ambleside Drive, London, ON N6G 4Y5

Identification of Premises

Plan 266 Lots 4, 5 + Pt. Lots 3 & 6

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

City of London Parks Planning and Design Office at 383 Richmond Street, 11th Floor, London, Ontario