Form ID

Publication date

Location of premises

Certificate

Well 3-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Black River-Matheson
Address of Owner
429 Park Lane, Matheson, ON
Name of Contractor
Gerry’s Enterprises
Address of Contractor
84 Railway Street, Cochrane, ON P0L 1C0
Name of Certifier
KMK Consultants Limited
Address of Certifier
PO Box 736, Cobalt, ON P0J 1C0

Identification of Premises

Corporation of the Township of Black River-Matheson North Half of Lot 4, Concession 5, Bowman Township, District of Cochrane