Form ID

Publication date

Location of premises

Certificate

Resurrection Cemetery Mausoleum @ Grandview Cemetery

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Roman Catholic Diocese of London.
Address of Owner
1070 Waterloo St., London, ON N6A 3Y2.
Name of Contractor
Cemetery Service & Supply Inc.
Address of Contractor
5250 Cliff Road, RR #5 Forest, ON N0N 1J0.
Name of Certifier
R.D. Peterman, Pow Peterman Consulting Engineers.
Address of Certifier
P.O. Box 24006, 63 Ridgeway Circle, Woodstock, ON N4S 8Y4.

Identification of Premises

Part of Lot 12, Conc. 6 (Part 1, 25R-3284) City of Sarnia, County of Lambton.