Form ID

Publication date

Location of premises

Certificate

Municipal Road and Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
North Roseland Development Ltd.
Address of Owner
2155 Fasan Drive, Oldcastle, Ont.
Name of Contractor
Amico Contracting & Engineering Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, Ont. N0R 1L0.
Name of Certifier
Hanna, Ghobrial & Spencer Ltd.
Address of Certifier
3100 Temple Drive, Windsor, Ont.

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

Essex County Registry Office.