Form ID

Publication date

Location of premises

Certificate

Underground Servicing & Granular B Subbase.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Drewlo Holdings.
Address of Owner
R.R. 3, Komoka, ON N0L 1R0.
Name of Contractor
L-82 Construction Ltd.
Address of Contractor
15 Hamley Road, London, ON N6E 3W1.
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.