Form ID

Publication date

Location of premises

Certificate

Installation of Conveyors, R.S. Program

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Chrysler Canada.
Address of Owner
2199 Chrysler Center, Windsor, ON.
Name of Contractor
Jervis B. Webb of Canada Ltd.
Address of Contractor
1647 Burlington Street E., Hamilton, ON L8H 7M5.

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

2199 Chrysler Center. Part Lots 96, 97, Concession 2, City of Windsor.