Form ID

Publication date

Location of premises

Certificate

Contract No. 7, 1998.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay.
Address of Owner
500 Donald St. E., Thunder Bay, ON P7E 5V3.
Name of Contractor
Hacquoil Construction Limited.
Address of Contractor
1408 Brown St., Thunder Bay, ON P7E 2M6.
Name of Certifier
Rick Harms, P.Eng., Project Engineer.
Address of Certifier
City of Thunder Bay.

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

City of Thunder Bay