Form ID

Publication date

Location of premises

Certificate

C02-024rv2 Internal Spot Repair - Sewer Maintenance

Date substantially performed:
Date certificate signed:

Participants

Name of Certifier
Rick Pedlow
Address of Certifier
PO Box 5035, London, ON N6A 4L9
Name of Owner
Corporation of the City of London
Address of Owner
PO Box 5035, London, ON N6A 4L9
Name of Contractor
Trans-Video Inspection Ltd.
Address of Contractor
2250 Industrial Street, Burlington, ON L7P 1A1

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

City Clerks Department, c/o Corporation of the City of London