Form ID

Publication date

Location of premises

Certificate

Construction of Sanitary and Storm Sewers, Watermain, /asphalt pavement and Boulevard Restoration, City of Windsor Tender Number 111-2006

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
M.R.
Name of Certifier
Tom Murray, P. Eng., Manager of Engineering/Deputy City Engineer
Address of Certifier
Same as owner

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

The Corporation of the City of Windsor, Attention