Form ID

Publication date

Location of premises

Certificate

Rosati Subdivisions Surface Course Asphalt and Final Acceptance

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Roscon Holdings Limited
Address of Owner
6555 Malden Road, LaSalle, ON N9H 1T5
Name of Contractor
Mill-Am Corporation.
Address of Contractor
2155 Fasan Dr., RR #1, Oldcastle, ON N0R 1L0.
Name of Certifier
Dillon Consulting Limited.
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8

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

Roscon Holdings Limited, 6555 Malden Rd., LaSalle, ON N9H 1T5