Form ID

Publication date

Location of premises

Certificate

Site Services and Road construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1156722 Ontario Limited.
Address of Owner
6100 Morton Industries Parkway, R.R.#3, Windsor, Ont. N9A 6Z
Name of Contractor
J.
Name of Certifier
Dillon Consulting Limited.
Address of Certifier
3200 Deziel Drive, Ste. 608, Windsor, Ont. N8W 5K8.

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

Part of Lots 10, 11, 12 and 13, Concession 1, (Western Division), Geographic Township of Gosfield South, now in the Town of Kingsville, County of Essex now designated as Parts 1, 2, 3, 4, & 5 on Plan 12R-17410.