Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
882885 Ontario Limited
Address of Owner
3199 Dougall Ave., Windsor, ON N9E 1S5
Name of Contractor
A. E. Belmont Inc.
Address of Contractor
2160 Fasan Dr., Unit 3, Oldcastle, ON N0R 1L0
Name of Certifier
: HGS Limited
Address of Certifier
3100 Temple Drive, Suite 100, Windsor, ON N8W 5J6

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

Essex County Registration Office