Form ID

Publication date

Location of premises


Site Servicing

Date substantially performed:
Date certificate signed:


Name of Owner
1223360 Ontario Ltd..
Address of Owner
2985 Dougall Avenue
Name of Contractor
M.R. Dunn Contractors Ltd.
Address of Contractor
485 Little Baseline Road, Tecumseh, ON N8N 2L9.
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Dr., 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