Form ID

Publication date

Location of premises

Certificate

Contract No. 98-13 Highway 11, Doe Lake Road Interchange, Gravenhurst, Ontario.

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
447 McKeown Avenue, Suite 301, North Bay, ON P1B 9S9.
Name of Contractor
Fowler Construction Company Limited.
Address of Contractor
Box 630, Rosewarne Drive, Bracebridge, ON P1L 1T9.
Name of Certifier
MTO.
Address of Certifier
447 McKeown Ave., Suite 301, North Bay, ON P1B 9S9

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8.