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Nipissing District,

Part 1, Part of Lot 1, Concession 1, Twp. of Springer.

Part 1, Part of Lot 1, Concession 1, Twp. of Springer.

New building for Sturgeon Falls Pentecostal Church.

Date substantially performed:

1999-08-20

Date certificate signed:

1999-08-20

Name of Owner

Sturgeon Falls Pentecostal Church.

Address of Owner

c/o D.R. Brohm, 174 Elizabeth St., Ajax, ON L1T 3Z5.

Name of Contractor

Sturgeon Falls Pentecostal Church.

Address of Contractor

c/o D.R. Brohm, 174 Elizabeth St., Ajax, ON L1T 3Z5.

Name of Certifier

D.R. Brohm, P. Eng.

Address of Certifier

174 Elizabeth St., Ajax, ON L1T 3Z5.

Part 1, Part of Lot 1, Concession 1, Township of Springer, District or Nipissing.