Form ID

Publication date

Location of premises

Certificate

Contract #2010-5800 Sand dome shingle rehabilitation on 5 sand domes

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, 159 Cedar St., Suite 503, Sudbur
Name of Contractor
Jules Construction
Address of Contractor
19 Mill Street, Brampton, ON L6X 1S5

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, ON M3M 1J8