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Certificate of Completion

Form ID

Publication date

2004-12-02

Location of premises

North Bay Ontario Canada

Certificate

Tender No. 2004-24 Cleaning and Cement Mortar Lining of Cast Iron and Ductile Iron Watermains

Date substantially performed:: 2004-11-23
Date certificate signed:: 2004-11-29

Participants

Name of Owner: Corporation of the City of North Bay
Address of Owner: Box 360, 200 McIntyre St. East, North Bay, ON P1B 8H8
Name of Contractor: 614128 Ontario Ltd. o/a Trisan Construction
Address of Contractor: PO Box 502, Schomberg, ON L0G 1T0
Name of Certifier: George Elliott P.Eng.
Address of Certifier: Box 360, 200 McIntyre St. East, North Bay, ON P1B 8H8

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

Corporation of the City of North Bay Attention