Form ID

Publication date

Location of premises

Certificate

Earth Excavation & Grading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1640209 Ontario Limited
Address of Owner
88 York Street, London, ON N6A 2A7
Name of Contractor
William Johnson Construction Limited
Address of Contractor
P.O. Box 484, Wyoming, ON N0N 1T0
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road, East, London, ON N6E 1A2

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

1640209 Ontario Limited, 88 York Street, London, ON N6A 2A7
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