Form ID

Publication date

Location of premises

Certificate

Placer Dome Campbell Mine - Paste Backfill Plant & Distribution Project.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Placer Dome North America.
Address of Owner
1 Mine Road, Balmerton, ON.
Name of Contractor
Marvac Industrial Electric Ltd.
Address of Contractor
#12-648 Squier Street, Thunder Bay, ON P7B 4A8.

Identification of Premises

Claim: KRL 20072 Balmertownship, Campbell Mine (Mill Building) 60-44-000-001-290-00-0000, Golden Township.