Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-5607 Culvert Replacement on Hwy. 144, 19.1 km South of Hwy. 661

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
500 Rockley Rd., PO Box 1390 New Liskeard, ON P0J 1P0
Name of Contractor
R.M. Belanger Limited
Address of Contractor
PO Box 160, Radisson Ave., Chelmsford, ON P0M 1L0

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

Director, Legal Services Office Main Floor East Building, 1201 Wilson Ave., Downsview, ON M3M 1J8