Form ID

Publication date

Location of premises

Certificate

Island Drive Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
500 Donald Street East, Thunder Bay, ON P7E 5V3
Name of Contractor
LTL Directional Drilling
Address of Contractor
1186 Russell St., Thunder Bay, ON P7B 5N2
Name of Certifier
Brian Newman, P.Eng., Project Engineer
Address of Certifier
500 Donald Street East, Thunder Bay, ON P7E 5V3

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

500 Donald Street East, Thunder Bay, ON P7E 5V3 Attention