Form ID

Publication date

Location of premises

Certificate

Wasauksing First Nation Ice Pavilion/Rink

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wasauksing First Nation
Address of Owner
PO Box 250, Parry Sound, ON P2A 2X3
Name of Contractor
Incon Construction Ltd.
Address of Contractor
33 James St., Parry Sound, ON P2A 1T6
Name of Certifier
Georgian Engineering
Address of Certifier
R.R. #1, Parry Sound, ON P2A 1W7

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

Georgian Engineering, R.R. #1, Parry Sound, ON P2A 2W7