Form ID

Publication date

Location of premises

Certificate

Road Rehab. III - Expanded Asphalt Pavement Rehabilitation - Tender No. 8010

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
1266 McDougall Street, Windsor, ON
Name of Contractor
M.R. Dunn Contractors Ltd.
Address of Contractor
485 Little Baseline Rd., R.R. #1, Tecumseh, ON N8N 2L9
Name of Certifier
Michael Palanacki, P. Eng.
Address of Certifier
1266 McDougall Street, Windsor, ON

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

The Corporation of the City of Windsor, Attention