Form ID

Publication date

Location of premises

Certificate

Site Servicing of Dominion Nickel Alloys Ltd.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dominion Nickel Alloys Ltd.
Address of Owner
c/o A.J. Clarke and Associates Ltd., 25 Main Street West, Su
Name of Contractor
Stephens and Rankin Inc.
Address of Contractor
Harbour Commission Building, 605 James Street North, Hamilto
Name of Certifier
A.J. Irani, P. Eng.
Address of Certifier
25 Main Street West, Suite 300, Hamilton, Ont. L8P 1H1.

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

Dominion Nickel Alloys Ltd., Attn