Form ID

Publication date

Location of premises

Certificate

Water Distribution System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Aundeck Omni Kaning
Address of Owner
R.R. #1, Box 21, Little Current, ON P0P 1K0
Name of Contractor
LTL Contracting Ltd.
Address of Contractor
1186 Russell Street, Thunder Bay, ON P7B 5N2
Name of Certifier
C. Micelli - First Nations Engineering Services Ltd.
Address of Certifier
P.O. Box 280, 1786 Chiefswood Rd., Ohsweken, ON N0A 1M0

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

First Nations Engineering Services Ltd.