Form ID

Publication date

Location of premises

Certificate

Contract #2005-01 Bridge St. San. and Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mun. of West Nipissing
Address of Owner
225 Holditch St., Sturgeon Falls, ON
Name of Contractor
Labelle Bros. Excavating
Address of Contractor
831 Drive-In Rd., Cache Bay, ON
Name of Certifier
David L . Caverson
Address of Certifier
Earth Tech, Sudbury Branch

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

Municipality of West Nipissing