Form ID

Publication date

Location of premises

Certificate

Couchie Centre Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Nipissing First Nation.
Address of Owner
36 Semo Road, R.R. #1, Garden Village, Sturgeon Falls, ON P0
Name of Contractor
R.M. Belanger Limited.
Address of Contractor
PO Box 160, Radisson Ave., Chelmsford, ON P0M 1L0.
Name of Certifier
First Nations Engineering Services Limited.
Address of Certifier
64 Beach Road, Box 624, Wikwemiking, ON P0P 2J0.

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

Nipissing First Nation, 36 Semo Road, R.R. #1, Garden Village, Sturgeon Falls, ON.