Form ID

Publication date

Location of premises

Certificate

Contract 1, 2008, Asphalt Surface Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
Engineering Division, 111 Syndicate Ave. South, Thunder Bay,
Name of Contractor
Bruno's Contracting (Thunder Bay) Limited
Address of Contractor
665 Hewitson St., Thunder Bay, ON P7B 5V5
Name of Certifier
Owner
Address of Certifier
same as owner

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

same as owner