Form ID

Publication date

Location of premises

Certificate

Lake Erie Country Club, Contract No. 3, except final restoration.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Amherstburg.
Address of Owner
PO Box 159, 271 Sandwich Street South, Amherstburg, ON N9V 2
Name of Contractor
D'Amore Construction (Windsor) Inc.
Address of Contractor
2501 Ouellette Ave., Windsor, ON N8X 1L5.
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

Mr. David Mailloux, Clerk - Town of Amherstburg, PO Box 159, 271 Sandwich Street South, Amherstburg, ON N9V 2Z3