Form ID

Publication date

Location of premises

Certificate

Structure Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Machin
Address of Owner
PO Box 249, Vermillion Bay, ON
Name of Contractor
LH North Ltd.
Address of Contractor
36 Rubin Drive, Murillo, ON
Name of Certifier
JML Engineering
Address of Certifier
105 Villa Street, Thunder Bay, ON

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

JML Engineering