Form ID

Publication date

Location of premises

Certificate

Municipal Roads and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1495680 Ontario Inc.
Address of Owner
13300 Tecumseh Road East, Suite 375, Tecumseh, ON N8N 4R8
Name of Contractor
Sherway Contracting (Windsor) Inc.
Address of Contractor
5390 Outer Drive, R.R. #1, Windsor, ON N9A 6J3
Name of Certifier
RC Spencer Associates Inc.
Address of Certifier
3100 Temple Drive, Unit 100, Windsor, ON N8W 5J6

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

The Corporation of the City of WIndsor, Attn