Form ID

Publication date

Location of premises

Certificate

Replacement of Culverts

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Thunder Bay
Address of Owner
500 Donald St. E.
Name of Contractor
Wilco Contractors Superior Inc.
Address of Contractor
1970 Broadway Ave.
Name of Certifier
JML Engineering Ltd.
Address of Certifier
105 Villa St.

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

500 Donald St. E.