Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-5647 Selective Resurfacing Sudbury, North Bay, Highway 535

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, 447 McKeown Avenue, North Bay, O
Name of Contractor
Pioneer Construction Inc.
Address of Contractor
3319 Kingsway, Sudbury, ON P3B 2G5

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, ON M3M 1J8