Form ID

Publication date

Location of premises

Certificate

Jubilee Road Reconstruction Phase III

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Chippewas of the Thames First Nation
Address of Owner
320 Chippewa Road, Muncey, ON N0L 1Y0
Name of Contractor
Birnam Excavating Limited
Address of Contractor
7902 Birnam Line, Arkona, ON N0M 1B0
Name of Certifier
Jason Miskokomon, P. Eng., First Nations Engineering Services Ltd.
Address of Certifier
1786 Chiefswood Road, Ohsweken, ON N0A 1M0

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

First Nations Engineering Services Ltd., 1786 Chiefswood Road, Ohsweken, Ontario, N0A 1M0