Form ID

Publication date

Location of premises

Certificate

Various Streets - Concrete Sidewalk and Curb & Gutter Construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg.
Address of Owner
200 Broadway Street, 2nd Floor, Town Center Mall, Tillsonbur
Name of Contractor
N. Piccoli Construction Ltd.
Address of Contractor
55 Lynngate Grove, London, ON N6K 3S7
Name of Certifier
Corporation of the Town of Tillsonburg.
Address of Certifier
Operations Services, 10 Lisgar Avenue, Tillsonburg, Ont. N4G

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

Corporation of the Town of Tillsonburg, 200 Broadway Street, 2nd Floor, Town Center Mall, Tillsonburg, Ont. N4G 5A7.