Form ID

Publication date

Location of premises

Certificate

Infastructure Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Six Nations of the Grand River, Housing Dept.
Address of Owner
Ohsweken, ON N0A 1M0
Name of Contractor
Anders Contracting.
Address of Contractor
P.O. Box 340, Hagersville, ON N0A 1H0.
Name of Certifier
First Nations Engineering Services Limited
Address of Certifier
PO Box 280, 1786 Chiefswood Road, Ohsweken, ON N0A 1M0

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

First Nations Engineering Services Limited