Form ID

Publication date

Location of premises

Certificate

Lakeshore Park Road Improvements Phase 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Lakeshore
Address of Owner
419 Notre Dame Street, Belle River, Ontario N0R 1A0
Name of Contractor
Henry Heyink Construction Ltd.
Address of Contractor
275 Colborne St., PO Box 1341, Chatham, Ont. N7M 5R9
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor ON, N8W 5K8

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

The Corporation of the Town of Lakeshore, 419 Notre Dame Street, Belle River, Ontario N0R 1A0