Form ID

Publication date

Location of premises

Certificate

Health Canada Nursing Station, Diesel Fuel Distribution System Installation, Poplar Hill, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Poplar Hill First Nation
Address of Owner
General Delivery, Angling Lake, ON
Name of Contractor
M.J. Fraser Electric Ltd.
Address of Contractor
R.R. #16, Hazelwood Drive, Thunder Bay, ON P7B 6B3
Name of Certifier
Neegan Burnside Engineering and Environmental Ltd.
Address of Certifier
106-B Scurfield Blvd., Winnipeg, Manitoba R3Y 1G4

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

Poplar Hill First Nation, General Delivery, Angling Lake, ON