Form ID

Publication date

Location of premises

Certificate

Public Works Garage/Housing Warehouse

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Moose Cree First Nation
Address of Owner
PO Box 190, Moose Factory, ON
Name of Contractor
CGV Builders
Address of Contractor
PO Box 1717, Cochrane, ON

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

PO Box 190, Moose Factory, ON P0L 1W0