Form ID

Publication date

Location of premises

Certificate

Lac La Croix First Nation School

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lac La Croix First Nation
Address of Owner
Lac La Croix, Ontario
Name of Contractor
Penn-Co Construction Canada (2003) Ltd.
Address of Contractor
Box 60, Blumenort, Manitoba R0A 0C0
Name of Certifier
Number Ten Architectural Group
Address of Certifier
310-115 Bannatyne Ave. E., Winnipeg, MB R2G 0E1

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

Band Office, Lac La Croix First Nation, Lac La Croix, Ontario