Form ID

Publication date

Location of premises

Certificate

Ditch Maintenance - Contract No. 42-17

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
350 City Hall Square West, Windsor, ON N9A 6S1
Name of Contractor
A.E. Belmont Inc.
Address of Contractor
635 Smith Crescent, LaSalle, ON N9J 3G9

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

The Corporation of the City of Windsor, Attention