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Certificate of Completion

Form ID

Publication date

2004-12-02

Location of premises

Sarnia, Ontario

Sarnia General Hospital, Mitton Street

Sarnia General Hospital, Mitton Street

Certificate

Replacement of existing Underground Tank

Date substantially performed:: 2004-10-01
Date certificate signed:: 2004-10-01

Participants

Name of Owner: Bluewater Health
Address of Owner: 89 Norman St., Sarnia, ON N7T 2S3
Name of Contractor: T.S. Mechanical
Address of Contractor: 1376 Longhar Ave., Sarnia, ON N7S 5N7
Name of Certifier: Rybka Smith & Ginsler Ltd.
Address of Certifier: 18 Champlain Blvd., Toronto, ON M3H 2Z1

Identification of Premises

Sarnia General Hospital

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

Bluewater Health, 89 Norman St., Sarnia, ON N7T 2S3