Form ID

Publication date

Location of premises

Certificate

Building Demolition, wall revetment and site cleanup

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of West Lincoln
Address of Owner
318 Canborough Street, Smithville, ON L0R 2A0
Name of Contractor
Lancing Construction, a division of 651272 Ontario
Address of Contractor
100 Lancing Drive, Unit 5, Hamilton, ON L8W 3L6
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

Identification of Premises

318 Canborough Street, Smithville, Ontario L0R 2A0

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

Owner - Address as Above
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