Form ID

Publication date

Location of premises

Certificate

Excavation, Rough Grading & Drainage Only Heron Landing Golf Course Fort Frances, Ontario Contract No. BSG 003

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Couchiching First Nation
Address of Owner
R.M.B. 2027, R.R. #2, Fort Frances, ON P9A 3M3
Name of Contractor
Tom Veert Contracting
Address of Contractor
PO Box 417, Station Main, Fort Frances, ON P9A 3M7
Name of Certifier
The MBTW Group
Address of Certifier
240 Duncan Mill Road, Suite 500, Don Mills, ON M3B 1Z4

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

Couchiching First NationFirst Nation, R.M.B. 2027, R.R. #2, Fort Frances, ON P9A 3M3