Form ID

Publication date

Location of premises

Certificate

Dam Repair, Dollars Lake, Britt Ontario.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources Engineering Services.
Address of Owner
R.R. #2 Hwy 11 North at High Falls Road, Bracebridge, ON P1L
Name of Contractor
North America Construction (1993) Ltd.
Address of Contractor
43 Main Street, Campbellville,, ON L0P 1B0.
Name of Certifier
Nick Paroschy
Address of Certifier
R.R. #2 Hwy 11 North at High Falls Road, Bracebridge, ON P1L

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

Ministry of Natural Resources Engineering Services, R.R. #2 Hwy 11 North at High Falls Road, Bracebridge, ON P1L 1W9.