Form ID

Publication date

Location of premises

Certificate

Storm and sanitary sewers, watermains, services, concrete curb and gutter and base asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jeff Hyme c/o Dufour Realty (1985) Inc.
Address of Owner
1-179 Sandwich Street South, Amherstburg, ON N9V 1Z9
Name of Contractor
M.R.
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

Dufour Realty (1985) Inc. Attention Chris Dufour, 1-179 Sandwich Street South, Amherstburg, ON N9V 1Z9