Forms
Certificates and Notices
Form 6 - Notice of Non-payment of Holdback
Notice of Non-payment of Holdback under Section 27.1 of the Act (Construction Act)
Name of Owner
R.L. Dusky
Owner Address
27 Pitcarnie Cres. London ON N6G 4N3
Description of the premises
residential home
Name of Contractor
Logan Sands & Shawn McIntosh
Contractor Address
landscapeguys5@gmail.com 519-615-2220 & Shawn_McIntosh@hotmail.com 519-850-6823
The full amount of the holdback, being $
12545.00
Certificate Date
9/12/2022
Signed Notice
rldNNP form6-rev0119-fil-en.doc [115.5 KB]
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