Form ID

Publication date

Location of premises

Certificate

Improvements to Meet the Upgrade Requirements Identified in the November 21, 2002 Consolidated Certificate of Approval, Known as Contract No. 0104.03

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Nairn and Hyman
Address of Owner
64 McIntyre St., Nairn Centre, ON P0M 2L0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
PO Box 160, Radisson Ave., Chelmsford, ON P0M 1L0
Name of Certifier
Kresin Engineering Corp.
Address of Certifier
536 Fourth Line East, Sault Ste. Marie, ON

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

Same as owner