Form ID

Publication date

Location of premises

Certificate

Ontario Provincial Police Station, Town of Lakeshore.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore.
Address of Owner
419 Notre Dame Street, P.O. Box 580, Belle River, ON N0R 1A0
Name of Contractor
Galbro Construction Services Inc.
Address of Contractor
7066 Smith Industrial Drive, McGregor, ON N0R 1J0.
Name of Certifier
Dillon Consulting Limited.
Address of Certifier
3200 Deziel Drive, Sutie 608, Windsor, ON N8W 5K8.

Identification of Premises

Town of Lakeshore Public Works Building, 775 Notre Dame St., Part Lot 1, West Belle River Concession 1.

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

Corporation of the Town of Lakeshore, 419 Notre Dame Street, P.O. Box 580, Belle River, ON N0R 1A0 Attention