Form ID

Publication date

Location of premises

Certificate

Contract No. 6, 1997.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay.
Address of Owner
500 E. Donald Street, Thunder Bay, ON
Name of Contractor
Bruno's Contracting (Thunder Bay) Limited.
Address of Contractor
665 Hewitson Street, Thunder Bay, ON P7B 5V5.
Name of Certifier
Rick Harms, P.Eng.
Address of Certifier
City of Thunder Bay, Engineering Division.

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

City Clerk, City of Thunder Bay.