Form ID

Publication date

Location of premises

Certificate

Dew Road Valve

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Windsor Utilities Commission, Water Division
Address of Owner
4545 Rhodes Drive, P O Box 1625, Station A, Windsor, ON N9A 5T7
Name of Contractor
Vollmer
Address of Contractor
3822 Sandwich Street, Windsor, ON N9C 1C1
Name of Certifier
Norbert Poggio, P. Eng.
Address of Certifier
Windsor Utilities Commission (same address as owner)

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

Windsor Utilities Commission (same address as owner)