Form ID

Publication date

Location of premises

Certificate

Hazelwood Water Storage Tank

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Thunder Bay
Address of Owner
PO Box 800 111 Syndicate Ave. South, Thunder Bay, ON P7B 5K4
Name of Contractor
Landmark Ontario Ltd.
Address of Contractor
3091 Harrison Court, Burlington, Ont. L7R 3X4
Name of Certifier
Earth Tech (Canada ) Inc.
Address of Certifier
80 King St., 2nd Floor, St. Catharines, ON L2R 7G1

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

The Corporation of the City of Thunder Bay