Form ID

Publication date

Location of premises

Certificate

Construction of Kam River Temp. Emergency Access Lower Deck.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay.
Address of Owner
111 Syndicate Ave. South.
Name of Contractor
Farrow Construction Company Ltd.
Address of Contractor
701 North Vickers St., Thunder Bay, ON P7C 4B8.
Name of Certifier
JML Engineering Ltd.
Address of Certifier
407 Amethyst Cres., Thunder Bay, ON P7C 1T2.

Identification of Premises

City of Thunder Bay, Engineering Div.

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

Land Registry Office.