Form ID

Publication date

Location of premises

Certificate

Site Rehabilitation Work - Phase C

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Northern Development & Mines
Address of Owner
933 Ramsay Lake Road, Level B4, Sudbury, ON P3E 6B5
Name of Contractor
M.J. Labelle Co. Ltd.
Address of Contractor
17 - 1st Street, P.O. Box 610, Cochrane, ON P0L 1C0
Name of Certifier
D.F. Elliott Consulting Engineers Ltd.
Address of Certifier
36 Lakeshore Road, PO Box 2524, New Liskeard, ON P0J 1P0

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

Ministry of Northern Development & Mines, 933 Ramsay Lake Road, Level B4, Sudbury, ON Attention