Form ID

Publication date

Location of premises

Certificate

Lot Servicing (Ten Lots).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1233902 Ontario Ltd.
Address of Owner
1973 Corbi Lane, Tecumseh, Ont. N8N 5C8.
Name of Contractor
J.
Name of Certifier
Susan St. Louis, P. Eng., Dillon Consulting Limited.
Address of Certifier
3200 Deziel Drive, Ste. 608, Windsor, Ont. N8W 5K8.

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

1233902 Ontario Ltd., 1973 Corbi Lane, Tecumseh, Ont. N8N 5C8.