Form ID

Publication date

Location of premises

Certificate

Project # 03016D Laboratory Environmental System Installation Anson General Hospital

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
M.I.C.S. Group of Health Service
Address of Owner
58 Anson Drive, Iroquois Falls, ON
Name of Contractor
920057 Ont Inc o/a Action Refrigeration & Electrical
Address of Contractor
428 Cedar Street South, Timmins, ON P4N 2H9

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

101 Worthington Street East, Suite 204, North Bay, ON P1B 1G5