Form ID

Publication date

Location of premises

Certificate

Western Road Improvements - Surface Works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
(1) Palumbo Developments Inc and (2) City of London.
Address of Owner
(1) 1635 Fanshawe Road West, London, Ont. N6H 5L3. (2) PO Bo
Name of Contractor
Monte Vista Contracting Inc.
Address of Contractor
9361 Oriole Drive, Mount Brydges, Ont. N0L 1W0.
Name of Certifier
Development Engineering (London) Limited.
Address of Certifier
361 Dufferin Ave., London, Ont N6B 1Z5.

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

Addresses as above.