Form ID

Publication date

Location of premises

Certificate

Mechanical Division 1500

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ojibwe Cultural Foundation.
Address of Owner
PO Box 278, West Bay, ON P0P 1C0.
Name of Contractor
Patrick Mechanical Limited.
Address of Contractor
87 Magill Street, Lively, ON P3Y 1K6.
Name of Certifier
Ojibwe Cultural Foundation.
Address of Certifier
As owner.

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

Ojibwe Cultural Foundation.