Form ID

Publication date

Location of premises

Certificate

Sewer Relining

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 N9V 2Z3
Name of Contractor
Amico Contracting & Engineering
Address of Contractor
2155 Fasan Dr., Old Castle, ON N0R 1L0
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Drive, Suite 100, Windsor, ON N8W 5J6

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

Essex County Registration Office
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