Form ID

Publication date

Location of premises

Certificate

Contract 2003-5609 Selective Resurfacing

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 Ave., Ste. 301, Nort
Name of Contractor
Lafarge Construction North Bay
Address of Contractor
175 Progress Road, North Bay, ON P1B 1G4

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

Ministry of Transportation, 447 McKeown Ave., Ste. 301, North Bay, ON P1B 9S9