Form ID

Publication date

Location of premises

Certificate

Storm sewers, sanitary sewers, watermains, storm management pond, curbs, base asphalt and pumping stations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore
Address of Owner
PO Box 580, Belle River, ON N0R 1A0
Name of Contractor
Amico Contracting & Engineering (1992) Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Windsor, ON N0R 1L0
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4

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

Clerk - Town of Lakeshore, PO Box 580, Belle River, ON N0R 1A0