Form ID

Publication date

Location of premises

Certificate

Underground Servicing and Granlar B Subbase

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jackson Summerside Land Corp. City of London
Address of Owner
1135 Adelaide Street North, London, ON N5Y 2N4, 300 Dufferin
Name of Contractor
Classic Excavating Inc.
Address of Contractor
1752 Donnybrook Drive, Dorchester, ON N0L 1G5
Name of Certifier
Development Engineering(London) Limited
Address of Certifier
361 Dufferin Ave., London, ON N6B 1Z5

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

Addresses as above