Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Southwood Lakes Holdings Ltd.
Address of Owner
500 Ouellette Avenue, Suite 800, Windsor, ON N9A 1B3
Name of Contractor
M.R. Dunn Contractors Ltd.
Address of Contractor
485 Little Baseline Road, Tecumseh, ON N8N 2L9.
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Dr., Suite 608, Windsor, ON N8W 5K8

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

The Corporation of the City of Windsor, Attention