Form ID

Publication date

Location of premises

Certificate

Project No. NLIF 00901009 Centre Rd., Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Local Services Board of Moose Factory
Address of Owner
P.O. Box 206, Moosonee, ON P0L 1Y0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
100 Radisson Avenue, Chelmsford, ON P0M 1L0
Name of Certifier
Trow Associates Inc.
Address of Certifier
9 Wellington St., P.O. Box 1208, New Liskeard, ON P0J 1P0

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

Local Services Board of Moose Factory