Form ID

Publication date

Location of premises

Certificate

Replace Sewer & Water and Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
111 Syndicate Ave. S., Thunder Bay, ON
Name of Contractor
LTL Contracting Ltd.
Address of Contractor
1186 Russell Street, Thunder Bay, ON P7V 4V5
Name of Certifier
Rick Harms, P.Eng.
Address of Certifier
As owner

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

Engineering Division Victoriaville Civic Centre