Form ID

Publication date

Location of premises

Certificate

Installation of Watermains and Appurtenances

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Amherstburg
Address of Owner
271 Sandwich Street South, Amherstburg, ON
Name of Contractor
M.R.
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Windsor, ON

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

Essex County Registry Office