Form ID

Publication date

Location of premises

Certificate

Roof Replacement, MNR District Office Building and Fire Control Office, 922 Scott St., Fort Frances, Project No. MNR-F85072

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Ontario Realty Corportion
Address of Owner
Director, Contract Management Branch Ferguson Block, Queen's
Name of Contractor
Holmes Roofing.
Address of Contractor
404 North Algoma St., Thunder Bay, ON P7A 5B6
Name of Certifier
W.J. Sobiski.
Address of Certifier
Suite 102, 810 Robertson St., Kenora, ON P9N 4J5

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

Director of Legal Services Ontario Realty Corporation, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3