Form ID

Publication date

Location of premises

Certificate

New Terminal Site Preparation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of North Bay
Address of Owner
200 McIntyre St. E., PO Box 360, North Bay, ON P1B 8H8
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
PO Box 2409, New Liskeard, ON P0J 1P0
Name of Certifier
Earth Tech (Canada) Inc.
Address of Certifier
222 McIntyre Street West, Suite 410, North Bay, ON P1B 2Y8

Identification of Premises

North Bay Airport.

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

North Bay City Hall.