Form ID

Publication date

Location of premises

Certificate

Interior Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
91682 Ontario Ltd. (Tenant is CHC)
Address of Owner
945 McDougall Street, Windsor, ON
Name of Contractor
TCI Titan Contracting
Address of Contractor
2489 Seminole St, Windsor, ON N8Y 1X2
Name of Certifier
Moe Nabhan
Address of Certifier
945 McDougall Street, Windsor, ON

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

TCI Titan Contracting 2489 Seminole St, Windsor, ON., N8Y 1X2