Form ID

Publication date

Location of premises

Certificate

Central Water System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Parks (North Eastern Zone)
Address of Owner
Ontario Government Building, 199 Larch Street, Suite 404, Su
Name of Contractor
Mike Moore & Sons Construction Ltd.
Address of Contractor
167 Industrial Court B, Unit A, Sault Ste. Marie, ON P6B 5Z9
Name of Certifier
Wm. R. Walker Engineering Inc.
Address of Certifier
499 Queen St. E., Level 2, Sault Ste. Marie, ON P6A 1Z9

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

Ontario Parks (North Eastern Zone) 199 Larch Street, Suite 404, Sudbury, ON P3E 5P9