Form ID

Publication date

Location of premises

Certificate

Construction of Common Counter Project.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
Manager, Contract Administration Design Services Branch, Ont
Name of Contractor
G. Belanger Construction.
Address of Contractor
349 Niven St., P.O. Box 292, Haileybury, ON P0J 1K0.
Name of Certifier
J.E. Harney.
Address of Certifier
590 Chippewa Street W., North Bay, ON P1B 9N2.

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street W., 12th Floor, Ferguson Block, Queens Park, Toronto, Ont. M7A 1N3.