Form ID

Publication date

Location of premises

Certificate

Worthington Street Reconstruction and Culvert Replacement Known as Contract No. 2006-19

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of North Bay
Address of Owner
P.O. Box 360, North Bay, ON P1B 8H8
Name of Contractor
Pioneer Construction
Address of Contractor
175 Progress Court, North Bay, ON P1B 8G4
Name of Certifier
Michelle Ward, Construction Services Supervisor
Address of Certifier
Same of Owner

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

Clerk, City of North Bay, P.O. Box 360, North Bay, ON P1B 8H8
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