Form ID

Publication date

Location of premises

Certificate

Drilling 16 inch holes at various locations downtown Timmins

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Northern Development and Mines
Address of Owner
1270 Highway 101 East, Ontario Govern. Complex - South Porcu
Name of Contractor
Chartrand Equipment Div. of 450477 Ontario Limited
Address of Contractor
2401 Airport Rd., Timmins, ON, P4N 7C3
Name of Certifier
Stan Kaczmarek
Address of Certifier
1270 Hwy. 101 East, South Porcupine, PON 1H0, Ontario Govern

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

MNDM - 1270 Hwy. 101 East, South Porcupine, P0N 1H0 - Ontario Govern. Complex
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