Form ID

Publication date

Location of premises

Certificate

Site Services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Masaryk Memorial Institute Incorporated
Address of Owner
Valentine Underground Services Ltd
Name of Certifier
J.S. Watson & Associates Ltd
Address of Certifier
50 Ardia Ave, Suite 207, Markham , Ontario, L3R 0B3

Identification of Premises

Part of Lot #17 , (Concession1)