Form ID

Publication date

Location of premises

Certificate

Matheson Watabeag River Bridge #8, Reference No. 04-04

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Black River-Matheson
Address of Owner
P.O. Box 601, 429 Park Lane, Matheson, ON P0K 1N0
Name of Contractor
Leo Alarie and Sons Limited
Address of Contractor
P.O. Box 912, Highway 101 West, Timmins, ON P4N 7H1
Name of Certifier
Northern Logistics Inc.
Address of Certifier
Suite 148, 101 Mall, 2nd Floor, 38 Pine St. North, Timmins,

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

Township of Black River-Matheson, P.O. Box 601, 429 Park Lane, Matheson, Ontario P0K 1N0