Form ID

Publication date

Location of premises

Certificate

Road Upgrade Phase 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ochiichagwe 'Babigo' Ining Ojibay Nation
Address of Owner
R.R. #1 Dalles Rd.
Name of Contractor
Nor-Quip Construction 2002 Inc.
Address of Contractor
443 Anderson Rd., Kenora, ON
Name of Certifier
J.R. Cousin Consultants Ltd.
Address of Certifier
91A Scarfield Blvd., Winnipeg, MB R3Y 1G4

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

J.R. Cousin Consultants Ltd.