Form ID

Publication date

Location of premises

Certificate

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, Sudbury Area Office, 3767 Highway 69 South, Suite #8, Sudbury, ON P3G 1G4
Name of Contractor
Belanger Construction (1981) Inc.
Address of Contractor
100 Radisson Ave, Chelmsford, ON P0M 1L0

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 0B5