Form ID

Publication date

Location of premises

Certificate

Contract A-2 Slab Reinforcing Steel A-5 Place and Finish Concrete Slab

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Constance Lake First Nation
Address of Owner
Box 4000, Calstock, ON P0L 1B0
Name of Contractor
Villeneuve Construction Co. Ltd.
Address of Contractor
1533 Highway 11 West, P.O. Box 1720, Hearst, ON P0L 1N0
Name of Certifier
Pawliuk Interplan Design
Address of Certifier
411 East Donald Street, Thunder Bay, ON P7E 5V1

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

Pawliuk Interplan Design, 411 East Donald Street, Thunder Bay, ON