Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Thunder Bay
Address of Owner
Victoriaville Civic Centre, 111 Syndicate avenue South, Thun
Name of Contractor
Miller Paving Northern
Address of Contractor
Highway 11B North, PO Box 247, New Liskeard, ON P03 1P0

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

Corporation of the City of Thunder Bay, 500 Donald Street East, Thunder Bay, ON P7E 5V3