Form ID

Publication date

Location of premises

Certificate

Weigh Scale

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
PO Box 5000, Station A, Sudbury, ON P3A 5P3
Name of Contractor
J.I. Enterprises (823292 Ontario Limited)
Address of Contractor
813 Granary Lake Road, Blind River, ON P0R 1B0

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

The Clerk, The City of Greater Sudbury, PO Box 5000, Stn A, Sudbury, ON P3A 5P3