Form ID

Publication date

Location of premises

Certificate

Contract No. 2005-132 Taxiway Lima Frost Heave Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
North Bay Jack Garland Airport Corporation
Address of Owner
c/o North Bay Airport, 50 Terminal Road, Suite 1, North Bay,
Name of Contractor
Miller Paving North Bay
Address of Contractor
Div. of Miller Paving Limited, P.O. Box 565, 5537 Highway 11
Name of Certifier
Pryde Schropp McComb, Inc.
Address of Certifier
Box 1600, 311 Goderich Street, Port Elgin, ON N0H 2C0

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

North Bay Jack Garland Airport Corporation c/o North Bay Airport, 50 Terminal Road, Suite 1, North Bay, ON P1B 8G2