Form ID

Publication date

Location of premises

Certificate

Contract 01413-II Sturgeon Falls Sewer and Watermain Cache Bay Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of West Nipissing
Address of Owner
225 Holditch St., Sturgeon Falls, ON
Name of Contractor
763535 Ont. Inc./Labelle Bros.
Address of Contractor
831 Drive In Road, Cache Bay, ON P0H 1G0
Name of Certifier
Earthtech Ltd.
Address of Certifier
1040 Lorne St., Unit 1, Sudbury, ON P3C 4R9

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

225 Holditch St., Sturgeon Falls, ON P2B 1T1