Form ID

Publication date

Location of premises

Certificate

Asphalt Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Amherstburg
Address of Owner
271 Sandwich St S, Amherstburg ON N9V 2A5
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
6725 South Service Road, Windsor, ON N8N 2M1
Name of Certifier
Lou Zarlenga, P.Eng.
Address of Certifier
271 Sandwich St S, Amherstburg ON N9V 2A5

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

Corporation of the Town of Amherstburg, 271 Sandwich St S. Amherstburg ON N9V 2A5