Form ID

Publication date

Location of premises

Certificate

Foundation Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Thunder Bay Native Housing
Address of Owner
230 Van Norman St., Thunder Bay, ON
Name of Contractor
Raymond Contracting
Address of Contractor
329 Argyle St., Thunder Bay, ON.
Name of Certifier
Bill Pawliuk
Address of Certifier
411 Donald Street East, Thunder Bay, ON

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

Thunder Bay Native Housing 230 Van Norman St., Thunder Bay, ON