Form ID

Publication date

Location of premises

Certificate

Baseline rehabilitation at 6th Concession and County Rd. and 16-17 Sideroad between 8th and 9th Concession Roads

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Lakeshore
Address of Owner
419 Notre Dame Street, PO Box 580, Belle River, ON N0R 1A0
Name of Contractor
Facca Incorporated
Address of Contractor
5138 County Road 46, R.R. #3, Maidstone, ON N0R 1K0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel, Suite 608, Windsor, ON N8W 5K8

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

Corporation of the Town of Lakeshore, 419 Notre Dame Street, PO Box 580, Belle River, ON N0R 1A0