Form ID

Publication date

Location of premises

Certificate

Alley Pavement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor.
Address of Owner
350 City Hall Sq. W., Windsor, ON N9A 6S1.
Name of Contractor
Elmara Construction Co. Ltd.
Address of Contractor
P.O. Box 42, 5365 Walker Road, Windsor, ON N0R 1L0.
Name of Certifier
G.T. Harding P.Eng.
Address of Certifier
350 City Hall Sq. W., Windsor, ON N9A 6S1.

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

The Corporation of the City of Windsor, Attention