Form ID

Publication date

Location of premises

Certificate

Alexandra Hospital Parking Lot Expansion

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Alexandra Hospital
Address of Owner
29 Noxon Street, Ingersoll, ON N5C 3V6
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
2200 Jetstream Road, London, ON N6A 4V7
Name of Certifier
Delcan Corporation
Address of Certifier
1069 Wellington Road South, #214 London, ON N6E 2H6

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

29 Noxon Street, Ingersoll, ON N5C 3V6