Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
882885 Ontario Ltd.
Address of Owner
3199 Dougall Ave., Windsor, ON N9E 1S5
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
6725 South Service Road, R.R. #2, Windsor, ON N8N 2M1
Name of Certifier
Hanna Ghobrial & Spencer Ltd.
Address of Certifier
3100 Temple Drive, Windsor, ON

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

Essex County Registry Office