Form ID

Publication date

Location of premises

Certificate

Municipal Roads and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shazar Development Inc.
Address of Owner
3555 North Service Road East, Windsor, Ontario N8W 5R7
Name of Contractor
M.R.
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Suite 100, Windsor, ON N8W 5J6

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

Essex County Registry Office