Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Kingsville
Address of Owner
2021 Division Road North, Kingsville, ON N9Y 2Y9
Name of Contractor
Smith Contracting Ltd.
Address of Contractor
5255 County Road 42, R.R. #2, Tecumseh, ON N8N 2M1
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4

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

Clerk, Town of Kingsville, 2021 Division Road North, Kingsville, ON N9Y 2Y9