Form ID

Publication date

Location of premises

Certificate

Phase III Water System Upgrades Known as Contract No. 1, Project No. 05-0026

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Serpent River First Nation
Address of Owner
48 Village Road, Cutler, ON P0P 1B0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
100 Radisson Avenue, Chelmsford, ON P0M 1L0
Name of Certifier
Henderson Paddon & Associates Limited
Address of Certifier
945 3rd Avenue East, Suite 212, Owen Sound, ON N4K 2K8

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

Serpent River First Nation