Form ID

Publication date

Location of premises

Certificate

Storm Sewer Structure, on Front Street (Hwy 17 connecting Link), Known as Contract No. NB-07-4925

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of West Nipissing
Address of Owner
225 Holditch St., Sturgeon Falls, ON P2B 1T1
Name of Contractor
R.M. Belanger Limited
Address of Contractor
Box 160, 100 Radisson Ave., Chelmsford, ON P0M 1L0
Name of Certifier
Northland Engineering (Trow Associates)
Address of Certifier
528 Cassells St., North Bay, ON P1B 3Z7

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

225 Holditch St., Sturgeon Falls, ON P2B 1T1