Form ID

Publication date

Location of premises

Certificate

Municipal Roadway and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
490203 Ontario Limited
Address of Owner
8565 Broderick Road, Lasalle, ON
Name of Contractor
Amico Contracting & Engineering
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, ON N0R 1L0
Name of Certifier
Hanna, Ghobrial & Spencer Ltd.
Address of Certifier
3100 Temple Drive, Windsor, ON

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

Essex County Registry Office