Form ID

Publication date

Location of premises

Certificate

Contract C146 - Fuel Dispensing System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
DeBeers Canada Inc.
Address of Owner
Victor Project, James Bay Lowlands, ON
Name of Contractor
CCM (Timmins) Inc.
Address of Contractor
1195 Riverside Dr., Timmins, ON P4R 1A3

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

65 Overlea Blvd., Suite 300, Toronto, ON M4H 1P1