Form ID

Publication date

Location of premises

Certificate

Frost Heave Excavation and Traffic Control on Hwy. 62, 850 metres north of Graphite Road

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 Ontario
Address of Owner
Postal Bag 4000, 1355 John Counter Blvd., Kingston, ON K7L 5
Name of Contractor
J & P Leveque Bros. Haulage Limited
Address of Contractor
30876 Hwy. 62N, R.R.#5, Bancroft, ON K0L 1C0
Name of Certifier
S. Haug, Technical Services Supervisor
Address of Certifier
Postal Bag 4000, 1355 John Counter Blvd., Kingston, ON K7L 5

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