Form ID

Publication date

Location of premises

Certificate

Dominion Auto Park, Pavilion, U99-04.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Uxbridge.
Address of Owner
61 Toronto St. S., Uxbridge, ON L9P 1T1.
Name of Contractor
Addison-Wenzl Construction Services Inc.
Address of Contractor
11 Second Ave., Uxbridge, ON L9P 1K2.
Name of Certifier
Lori Burns Architects.
Address of Certifier
11120 6th Conc., Uxbridge, ON L9P 1R2.

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

61 Toronto St. S., Uxbridge, ON L9P 1T1.