Form ID

Publication date

Location of premises

Certificate

Warehouse/Office.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1298407 Ontario Ltd.
Address of Owner
3260 Odessa Drive, R.R. #2, Tecumseh, ON N8N 2M1.
Name of Contractor
Southside Construction (London) Limited.
Address of Contractor
358 Horton St., London, Ont. N6B 1L7.
Name of Certifier
Mardon Engineering Ltd.
Address of Certifier
1329 Fuller Street, London, ON N5Y 4R1.

Identification of Premises

Lot 18, Concession 8, City of London, County of Middlesex.