Form ID

Publication date

Location of premises

Certificate

FORM 7
SUBSECTION 33
(1) OF THE ACT
––––––
This is to certify the completion of a contract for the supply of services between
Forma-Con Construction - 407 Basaltic Road, Concord, Ont. L4K 4W8 and Bondfield Construction Ltd. dated the 3rd day of October, 2002.
The subcontract provided for the supply of the folloing services or materials
Concrete Forming.
To the following improvement:
Concrete forming for Northumberland Health Care Corporation - New Hospital.

Participants

Name of Owner
Northumberland Health Care Corporation.
Address of Owner
240 Chapel St., Box 340, Cobourg, Ont. K9A 4K3.
Name of Contractor
Bondfield Contruction Company Ltd.
Address of Contractor
407 Basaltic Road, Concord, Ont. L4K 4W8.
Name of Certifier
Murphy Hilgers Architects Inc.
Address of Certifier
10 Brentcliffe Road, Suite 212, Toronto, Ont. M4G 3Y2.

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

Murphy Hilgers Architects Inc.