Form ID

Publication date

Location of premises

Certificate

Storm Sewer System Phase 1, Contract No. EN03047

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Moosonee
Address of Owner
PO Box 727, 5 First Street, Moosonee, ON P0L 1Y0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
Radisson Avenue P.O. Box 160, Chelmsford, ON P0M 1L0
Name of Certifier
Sutcliffe Rody Quesnel Inc.
Address of Certifier
9 Wellington Street PO Box 1208, New Liskeard, ON P0J 1P0

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

Corporation of the Town of Moosonee (at above address)