Form ID

Publication date

Location of premises

Certificate

Lakeside Drive Sanitary Sewer in the City of North Bay, Known as Contract No. 2004 - 144

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of North Bay
Address of Owner
P.O. Box 360, North Bay, ON P1B 8H8
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
Hwy 11 and 65 West - P.O. Box 2409, New Liskeard, ON P0J 1P0
Name of Certifier
George Elliot P. Eng
Address of Certifier
P.O. Box 360, North Bay, ON P1B 8H8

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

Clerk, City of North Bay, P.O. Box 360, North Bay, ON P1B 8H8