Form ID

Publication date

Location of premises

Certificate

Replacement of the Skeleton Lake Dam Known as Contract No. 151835

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources
Address of Owner
RR #2, 1350 High Fars Rd., Bracebridge, ON P1L 1W9
Name of Contractor
G.C. Romano Sons (Toronto) Limited.
Address of Contractor
8760 Jane Street, Concord, ON L4K 2M9
Name of Certifier
Mike Phillips
Address of Certifier
Same as owner

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

Director Legal Service Branch, Room 6420, Whitney Block, 99 Wellesley Street West, Toronto, ON M7A 1W3