Form ID

Publication date

Location of premises

Certificate

Dust Collection System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Weeneebayko General Hospital Board
Address of Owner
PO Box 34, Moose Factory, ON P0L 1W0
Name of Contractor
All North Plumbing & Heating
Address of Contractor
1405 Front Street, PO Box 790, Hearst, ON P0L 1N0
Name of Certifier
ANO Architects/Architectes Inc.
Address of Certifier
172 Algonquin Blvd. East, Timmins, ON P4N 1A9

Identification of Premises

Lot 1, Plan M140C, Moose Factory Island

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

Weeneebayko General Hospital, Moose Factory, Ontario