Form ID

Publication date

Location of premises

Certificate

Storm Sewer Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Town of Amherstburg
Address of Owner
271 Sandwich Street South, Amherstburg, ON N9V 2Z3
Name of Contractor
M.R. Dunn Contractors
Address of Contractor
485 Little Baseline Road, Tecumseh, ON N8N 2L9
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Suite 100, Windsor, ON N8W 5J6

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

Essex County Registration Office