Form ID

Publication date

Location of premises

Certificate

Municipal Roads & Sewers.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1100946 Ontario.
Address of Owner
13385 Desro Drive, R.R. #1.
Name of Contractor
M.R.
Name of Certifier
Hanna, Ghobrial & Spencer Ltd.
Address of Certifier
3100 Temple Drive, Windsor, Ont. N8W 5J6.

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

Essex County Registry Office.