Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Fort Frances
Address of Owner
320 Portage Avenue, Fort Frances, ON P9A 3P9
Name of Contractor
1876118 Ontario Ltd. o/a Makkinga Contracting & Equipment Rental
Address of Contractor
570 Squier Place, Thunder Bay, ON P7B 6M2
Name of Certifier
Hatch Limited
Address of Certifier
101-973 Balmoral Street, Thunder Bay, ON P7B 0E2

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

Office of the Clerk, Town of Fort Frances, 320 Portage Avenue, Fort Frances, ON P9A 3P9