Form ID

Publication date

Location of premises

Certificate

Reconstruction of Storm and Sanitary Sewers and Pavement City of Windsor, Contract No. 2001-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Windsor
Address of Owner
350 City Hall Sq. W., Windsor ON N9A 6S1
Name of Contractor
M.R.
Name of Certifier
G.T. Harding P.Eng.
Address of Certifier
As owner

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

The Corporation of the City of Windsor, Attention