Form ID

Publication date

Location of premises

Certificate

Municipal Roads and Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lakeshore New Centre Estates
Address of Owner
701 Old Tecumseh Rd.,
Name of Contractor
D'Amore Const. (2000) Ltd.
Address of Contractor
2501 Ouellette Ave., Windsor ON N8X 1L5
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Windsor, ON

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

Essex County Registry Office