Form ID

Publication date

Location of premises

Certificate

Kingfisher Lake Phase II Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kingfisher Lake First Nation
Address of Owner
General Delivery, Kingfisher Lake, ON P0V 1Z0
Name of Contractor
Okeskemanesee Construction Limited
Address of Contractor
General Delivery, Kingfisher Lake, ON P0V 1Z0
Name of Certifier
Shibogama Technical Serivces
Address of Certifier
PO Box 387, 81 King St., Sioux Lookout, ON P8T 1A5

Identification of Premises

Kingfisher Lake Phase II Servicing

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

Shibogama Technical Services, PO Box 387, 81 King St., Sioux Lookout, ON P8T 1A5