Form ID

Publication date

Location of premises

Certificate

Alterations - Phase Two Burk’s Falls & District Health Centre

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Huntsville District Memorial Hospital
Address of Owner
354 Muskoka Road 3 North, Huntsville, ON P1H 1H7
Name of Contractor
W.S. Morgan Construction Limited
Address of Contractor
19 Bowes St., Parry Sound, ON P2A 2K7
Name of Certifier
Ronald A. Awade Architect
Address of Certifier
1458 King Street, PO Box 142, Bethany, ON L0A 1A0

Identification of Premises

150 Huston Street, Burk’s Falls, ON P0A 1C0

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

c/o Mr. John Frederick C.F.O., Huntsville District Memorial Hospital, 354 Muskoka Road 3 North, Huntsville, ON P1H 1H7