Form ID

Publication date

Location of premises

Certificate

RFT 131-17 Asphalt Pavement Widening Malden Road & South Cameron Boulevard

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
Office of the City Clerk, 350 City Hall Square West, Windsor, ON N9A 6S1
Name of Contractor
Coco Paving Inc.
Address of Contractor
485 Little Baseline Rd., Tecumseh, ON N8N 2L9

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

350 City Hall Square West, Windsor, ON, N9A 6S1. Attention City Clerk.