Form ID

Publication date

Location of premises

Certificate

Contract No. 3, 2000

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
500 E. Donald Street, Thunder Bay, ON
Name of Contractor
Construction Forming Systems Limited.
Address of Contractor
R.R. #4, Site 1, Comp. 8, Thunder Bay, ON P7C 4Z2
Name of Certifier
Rick Harms P.Eng. Project Engineer
Address of Certifier
City of Thunder Bay, Engineering Division.

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

City of Thunder Bay