Form ID

Publication date

Location of premises

Certificate

Generator Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bell Canada
Address of Owner
93 Cedar Ave, Haliburton, ON
Name of Contractor
Walker Electric 2000
Address of Contractor
169 Bay Street, Midland, ON
Name of Certifier
Kelvin Emtech
Address of Certifier
70 Silton Rd., Woodbridge, ON

Identification of Premises

14 Cedar Ave, Haliburton, ON K0M 1S0