Form ID

Publication date

Location of premises

Certificate

Nurse Call and P/A System Upgrade

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Weeneebayko General Hospital Board.
Address of Owner
PO Box 34, Moose Factory, Ont. P0L 1W0.
Name of Contractor
Denis Electric
Address of Contractor
RR #1 970 Hwy 11, Smooth Rock Falls, ON P0L 2B0
Name of Certifier
ANO Architects/Architectes Inc.
Address of Certifier
172 Algonquin Blvd. East, Timmins, Ont. P4N 1A9.

Identification of Premises

Lot 1, Plan M140C, Moose Factory Island.

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

Weeneebayko General Hospital, Moose Factory, Ontario.