Form ID

Publication date

Location of premises

Certificate

Prospect School Demolition and Site Restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lakehead District School Board
Address of Owner
525 Hartland Street, Thunder Bay, ON P7B 2E2
Name of Contractor
Gravel Doctor Contracting
Address of Contractor
1541 Rosslyn Rd., Unit #2, Thunder Bay, ON P7C 4T9
Name of Certifier
Robert J. Rinne, Trow Consulting Engineers Ltd.
Address of Certifier
1142 Roland Street, Thunder Bay, ON P7B 5M4

Identification of Premises

Park Lot Part Lot 10, Part Lot 11s/Dawson

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

Cheadle Johnson Shanks MacIvor, Attention