Form ID

Publication date

Location of premises

Certificate

Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Zellers Inc.
Address of Owner
8925 Torbram Road, Brampton, ON L6T 4G1
Name of Contractor
Tambeau Construction Ltd.
Address of Contractor
170 Progress Court, North Bay, ON P1B 8H5
Name of Certifier
Ronald Tambeau
Address of Certifier
170 Progress Court, North Bay, ON P1B 8H5

Identification of Premises

Part of Block A, Registered Plan M-152 #151 Ontario Ave., Elliot Lake, ON

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

Elliot Lake, District of Algoma