Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Amherstburg
Address of Owner
512 Sandwich Street South, Amherstburg, ON N9V 3R2
Name of Contractor
SLR Contracting Group Inc.
Address of Contractor
6260 Westar Drive, Window, ON N9J 3W3
Name of Certifier
Hrycay Consulting Engineers Inc.
Address of Certifier
1725 North Talbot Road, Windsor, ON N9A 6J3

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

512 Sandwich Street South, Amherstburg, Ontario N9V 3R2