Form ID

Publication date

Location of premises

Certificate

Roofing Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Moose Factory Island District School Area Board
Address of Owner
P.O. Box 160, Moose Factory, ON P0L 1W0
Name of Contractor
Blanchfield Roofing Company Limited
Address of Contractor
34 Venture Cres., P.O. Box 873, North Bay, ON P1B 8K1
Name of Certifier
Critchley Delean Trussler Evans Bertrand Architects Inc.
Address of Certifier
528 Cassells Street, North Bay, ON P1B 3Z7

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

P.O. Box 160, Moose Factory, ON P0L 1W0