Form ID

Publication date

Location of premises

Certificate

Sanitary Sewer and Service Connections.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Amherstburg.
Address of Owner
271 Sandwich Street South, P.O. Box 159, Amherstburg, ON N9V
Name of Contractor
M.R.
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

The Clerk, Town of Amherstburg, 271 Sandwich Street South, P.O. Box 159, Amherstburg, ON N9V 2Z3.