Form ID

Publication date

Location of premises

Certificate

New Hub, Addition and Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Union of Ontario Indians Inc.
Address of Owner
#1 Migizii Miikan Rd., Nipissing First Nation, Hwy #17 West,
Name of Contractor
Tribury Construction (1995) Inc.
Address of Contractor
1549 Fairburn Ave., Sudbury, ON
Name of Certifier
Larocque Elder Architects, Architectes Inc.
Address of Certifier
188 Fifth Avenue East, North Bay, ON

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

#1 Migizii Miikan Rd., Nipissing First Nation, Hwy #17 West, North Bay, ON