Form ID

Publication date

Location of premises

Certificate

Wasaya Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fort William First Nation
Address of Owner
200-90 Anemki Drive, Thunder Bay, ON P7J 1L3
Name of Contractor
Lakehead Roofing & Metal Cladding Ltd.
Address of Contractor
1190 Russell Street, Thunder Bay, ON P7B 5N2
Name of Certifier
FORM Architecture Engineering
Address of Certifier
131 Court Street North, Thunder Bay, ON P7A 4V1

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

Fort William First Nation, 200-90 Anemki Drive, Thunder Bay, ON P7J 1L3