Form ID

Publication date

Location of premises

Certificate

Municipal Roads and Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2000644 Ontario Limited.
Address of Owner
13275 Tecumseh Rd. E., Tecumseh.
Name of Contractor
Amico Contracting and Engineering (1992) Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, ON N0R 1L0
Name of Certifier
Hanna, Ghobrial & Spencer Ltd.
Address of Certifier
3100 Temple Drive, Windsor, Ont.

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

Essex County Registry Office.