Form ID

Publication date

Location of premises

Certificate

Install Substation #5.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Chrysler Canada Ltd.
Address of Owner
2450 Chrysler Centre, Windsor, ON.
Name of Contractor
Vollmer & Associates Contractors Limited.
Address of Contractor
3181 Marentette Ave., Windsor, ON N8X 4G1.
Name of Certifier
Chrysler Canada Ltd.
Address of Certifier
2199 Chrysler Centre, Windsor, ON.

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

Payment Certifier.