Form ID

Publication date

Location of premises

Certificate

London Sewer and Watermain Replacement, Contract 6.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London.
Address of Owner
P.O. Box 5035, London, Ont. N6A 4L9.
Name of Contractor
C.H. Excavating (London) Limited.
Address of Contractor
4201 Blakie Road, London, ON N6L 1B9
Name of Certifier
Delcan Corporation.
Address of Certifier
1069 Wellington Road South, #214, London, Ont. N6E 2H6.

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

P.O. Box 5035, 300 Dufferin Ave., London, Ont. N6A 4L9.