Form ID

Publication date

Location of premises

Certificate

Watermain, storm and sanitary sewers, concrete curb and gutter and base asphalt except storm and sanitary pumping stations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1027579 Ontario Ltd.
Address of Owner
PO Box 3130, Tecumseh, ON N8N 2M3
Name of Contractor
Dunn Paving Ltd.
Address of Contractor
485 Little Baseline Road, R.R. #1, Tecumseh, ON N8N 2L9
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4

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

1027579 Ontario Ltd., PO Box 3130, Tecumseh, ON N8N 2M3