Form ID

Publication date

Location of premises

Certificate

Road Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sagamok Anishnawbek First Nation
Address of Owner
Box 610, Massey, ON P0P 1P0
Name of Contractor
MSO Construction Limited
Address of Contractor
175 Bethridge Rd., Etobicoke, ON M9W 1N4
Name of Certifier
Laura Owl
Address of Certifier
Box 610, Massey, ON P0P 1P0

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

Sagamok Anishnawbek First Nation