Form ID

Publication date

Location of premises

Certificate

Site servicing of underground civil (i.e. roads, storm and sanitary sewers, private drain connectors, watermains)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brooklyn Avenue Landowners Group in Trust (Lloyd Thomas Bornais, Antonino Piruzza & Angelo Faoro)
Address of Owner
333 Wyandotte Street East, Windsor, ON N9A 3H7
Name of Contractor
Amico Contracting & Engineering (1992) Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Old Castle, ON N0R 1L0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Dr., Suite 608, Windsor, ON N8W 5K8

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

Corporation of the Town of LaSalle, 5950 Malden Road, LaSalle, ON N9H 1S4, Attn