Form ID

Publication date

Location of premises

Certificate

Verner Sidewalk Replacement & Third Street Active Transportation Trail

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of West Nipissing
Address of Owner
225 Holditch Street, Suite 101, Sturgeon Falls, ON P2B 1T1
Name of Contractor
R.M. Belanger Construction
Address of Contractor
100 Radisson St., P.O. Box 160, Chelmsford, ON P0M 1L0
Name of Certifier
Trow Associates Inc.
Address of Certifier
885 Regent Street, Sudbury, ON P3E 5M4

Identification of Premises

Municipality of West Nipissing

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

225 Holditch St., Suite 101, Sturgeon Falls, Ontario