Form ID

Publication date

Location of premises

Certificate

Double Surface Treatment Application

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wabaseemoong Independent Nations
Address of Owner
Band Office, White Dog, ON P0X 1P0
Name of Contractor
MSO Construction Limited
Address of Contractor
175 Bethridge Road, Etobicoke, ON M9W 1N4
Name of Certifier
TBT Engineering Limited
Address of Certifier
1918 Yonge St., Thunder Bay, ON P7E 6T9

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

TBT Engineering Limited