Form ID

Publication date

Location of premises

Certificate

1509 Fanshawe Park Road West Municipal Servicing up to and including surface asphalt External Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2568401 Ontario Inc.
Address of Owner
15168 Oscar Peterson Boulevard, Mississauga, ON L5M 7W4
Name of Contractor
CH Excavating
Address of Contractor
4201 Blakie Road, London, ON N6L 1B9
Name of Certifier
LDS Consultants Inc.
Address of Certifier
15875 Robins Hill Road, London, ON N5V 0A5

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

15168 Oscar Peterson Boulevard, Mississauga, ON. L5M 7W4