Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1223244 Ontario Ltd.
Address of Owner
6725 South Service Road, Tecumseh, ON N8N 2M1.
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
R.R. #2, Tecumseh, ON N8N 2M1.
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

Essex County Registry Office.