Form ID

Publication date

Location of premises

Certificate

Construction of Turning Lane and Driveway Approach

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Extendicare (Canada) Inc.
Address of Owner
3000 Steeles Ave. East, Markham, ON L3R 9W2
Name of Contractor
Danruss Contracting Inc.
Address of Contractor
2490 McDougall Street, Windsor, ON N8X 3N7
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, 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