Form ID

Publication date

Location of premises

Certificate

New Broadway Ave. Booster Pumping Station

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Thunder Bay
Address of Owner
PO Box 800, Thunder Bay, ON P7C 5K4
Name of Contractor
Tom Jones Corporation
Address of Contractor
560 Squier Place, PO Box 10662, Thunder Bay, ON P7B 6V1
Name of Certifier
KGS Group
Address of Certifier
560 Squier Place, Thunder Bay, ON P7B 6M2

Identification of Premises

Part 1 of Plan 55 R - 11939

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

Land Registry Office, District of Thunder Bay