Form ID

Publication date

Location of premises

Certificate

City Contract No. 2, 2006

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation fo the City of Thunder Bay
Address of Owner
P.O. Box 800, Thunder Bay, ON P7C 5K4
Name of Contractor
Gravel Doctor, Construction & Materials
Address of Contractor
1473 Rosslyn Road, Thunder Bay, ON P7E 6W1
Name of Certifier
Rick Harms, P. Eng.
Address of Certifier
111 Syndicate Avenue South, Thunder Bay, ON P7C 5K4

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

P.O. Box 800, Thunder Bay, ON P7C 5K4