Form ID

Publication date

Location of premises

Certificate

Contract A - Subdivision Development.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sagamok Anishnawbek.
Address of Owner
Box 610, Massey, ON P0P 1P00
Name of Contractor
R.M. Belanger Limited.
Address of Contractor
PO Box 160, Radisson Ave., Chelmsford, ON P0M 1L0.
Name of Certifier
R.J. Burnside & Associates Limited.
Address of Certifier
15 Townline, Orangeville, ON L9W 4E2

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

Sagamok Anishnawbek First Nation Offices.