Form ID

Publication date

Location of premises

Certificate

Site Servicing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Southwood Lakes Holdings Ltd.
Address of Owner
824 Lake Trail Drive, Windsor, ON N9G 2M8.
Name of Contractor
M.R.
Name of Certifier
Dillon Consulting Limited.
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8.

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

The Corporation of the City of Windsor Attention