Form ID

Publication date

Location of premises

Certificate

Municipal Roads and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
882885 Ontario Ltd.
Address of Owner
3199 Dougall Ave., Windsor, Ontario
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
6725 South Service Road, R.R. #2, Windsor, ON N8N 2M1
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Windsor, ON N8W 5J6

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

Essex County Registry Office