Form ID

Publication date

Location of premises

Certificate

Alterations to Temiskaming Hospital - Phase One

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Temiskaming Hospital
Address of Owner
421 Shepherdson Road, New Liskeard, ON P0J 1P0
Name of Contractor
CGV Builders
Address of Contractor
56 Connaught Avenue, PO Box 1717, Cochrane, ON P0L 1C0
Name of Certifier
Ronald A. Awde, Architect
Address of Certifier
1458 King Street, P.O. Box 142, Bethany, ON L0A 1A0

Identification of Premises

421 Shepherdson Road, New Liskeard, ON P0J 1P0

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

c/o Mr. Wayne Coveyduck, Executive Director, 421 Shepherdson Road, PO Box 4040, New Liskeard, ON P0J 1P0