Form ID

Publication date

Location of premises

Certificate

Construction of New Water System.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources.
Address of Owner
Restoule Provincial Park, Restoule, ON P0H 2R0
Name of Contractor
Gap Construction
Address of Contractor
1310 Franklin St., North Bay, ON P1B 2M3.
Name of Certifier
Ron Robinson.
Address of Certifier
Box 2178, Orillia, ON L3V 6S1

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

c/o Ministry of Natural Resources, Box 6500, 300 Water St., Peterborough, ON K9J 8N1.