Form ID

Publication date

Location of premises

Certificate

Municipal Servicing up to and including Secondary Roads Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
902836 Ontario Inc.
Address of Owner
13891 Hurontario Street, R.R. #1, Inglewood, ON L0N 1K0
Name of Contractor
969774 Ontario Limited
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
105 Lexington Rd., Unit 17 Waterloo ON N2J 4R7

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

902836 Ontario Inc., 13891 Hurontario Street, R.R. #1, Inglewood, ON L0N 1K0
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