Form ID

Publication date

Location of premises

Certificate

Project No. R14001, Lot Grading and Drainage of Pickle Lake Airport.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty the Queen in right of Ontario as represented by the
Address of Owner
Vice President, Project Management Branch, Ontario Realty Co
Name of Contractor
B.J. Halow & Son Constructors Ltd.
Address of Contractor
R.R. #5, Wing Road, Thunder Bay, Ont. P7C 5M9.
Name of Certifier
H. Bradford Green Architect Inc. and Ano Architects Inc. Architects in Joint Venture
Address of Certifier
123 Brodie Street South, Suite 1, Thunder Bay, Ont. P7E 1B8.

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

Presidente and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3