Form ID

Publication date

Location of premises

Certificate

Contract No. 60-0041. Load, Haul & Place Granular “A”, Hwy 599- From Pickle Lake Northerly 254 km

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
615 South James Street, Thunder Bay, ON P7E 6P6.
Name of Contractor
Moncrief Construction
Address of Contractor
R.R. #1, Kenora, ON P9N 3W7
Name of Certifier
C. Seely
Address of Certifier
615 S. James St., Thunder Bay, ON P7C 6P6.

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.