Form ID

Publication date

Location of premises

Certificate

Replacement Make Up Air Unit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sault Ste. Marie Housing Corporation
Address of Owner
180 Brock Street, Sault Ste. Marie, ON
Name of Contractor
Henderson Metal Fabricating Company Limited
Address of Contractor
76 Industrial Park Cres, Sault Ste. Marie, ON P6B 5P2
Name of Certifier
Nor Mech Engineering Inc.
Address of Certifier
1141 Old Garden River Road, Sault Ste. Marie ON

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

Same As Owner