Form ID

Publication date

Location of premises

Certificate

Contract #2006-01 (same as mentioned above)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Windsor Utilities Commission, Water Division
Address of Owner
4545 Rhodes Drive, P.O. Box 1625, Station A, Windsor, ON N9A
Name of Contractor
Fuller Const (1986) Inc.
Address of Contractor
5487 Rhodes Drive, Windsor, ON N8N 2M1
Name of Certifier
Norbert Poggio, P. Eng
Address of Certifier
Windsor Utilities Commission (same address as owner)

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

Windsor Utilities Commission (same address as owner)