Form ID

F9-5077

Publication date

Certificate

Blind River Dam, Blind River Ontario
UTM Zone 17 5116468N 349019E
This is to certify that the contract for the following improvement:
Blind River Dam Concrete Repairs
To the above premises was deemed completed on:
November 29, 2019
Date certificate signed:
December 10, 2019
Name of owner:
Her Majesty the Queen in right of Ontario as represented by the Minister of Natural Resources and Forestry
Address for service:
5520 Hwy 101 E., P.O. Bag 3020 South Porcupine Ontario P0N 1H0
Name of contractor:
RJ Concrete and Construction Ltd
Address for service:
475 Hazelwood Dr., Thunder Bay ON P7G 1Y5
Name of payment certifier:
Andrew Dorland
Address:
5520 Hwy 101 E., P.O. Bag 3020 South Porcupine Ontario P0N 1H0
Identification of premises for preservation of liens:
Blind River Dam, Blind River Ontario

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