Form ID

Publication date

Location of premises

Certificate

Construction of storm sewer, curb & gutter and asphalt pavement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor.
Address of Owner
350 City Hall Sq. W., Windsor, ON N9A 6S1.
Name of Contractor
Danruss Contracting Inc.
Address of Contractor
2490 McDougall Street, Windsor, ON N8X 3N7.
Name of Certifier
G.T. Harding, P.Eng.
Address of Certifier
As owner.

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

The Corporation of the City of Windsor, Attention
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