Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
North Bay Hydro
Address of Owner
74 Commerce Crescent, North Bay, ON P1A 0B4
Name of Contractor
Aultman Rental
Address of Contractor
120 Pioneer Road, Redbridge, ON P0H 2A0
Name of Certifier
Exp Services Inc.
Address of Certifier
757 Main Street East, North Bay, ON P1B 1C2

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

North Bay Hydro, 74 Commerce Crescent, North Bay, ON P1A 0B4