Form ID

Publication date

Location of premises

Certificate

Contract No. 60-99-40 Supply & deliver hot-mixed, cold laid, patching materials to various Patrol Yards in the Kenora Area.

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
808 Robertson St., P.O. Box 5070, Kenora, ON P9N 3X9.
Name of Contractor
Gamble Construction Ltd.
Address of Contractor
351 Kennedy St., PO Box 447, Dryden, ON P8N 2Z2.
Name of Certifier
MTO
Address of Certifier
808 Robertson St., Box 5070, Kenora, ON P9N 3X9.

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

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