Form ID

Publication date

Location of premises

Certificate

Contract#: 2002-4281, Hwy. 401, Hwy. 417, Rout and seal asphalt cracks

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
Minstry of Transportation P.O. Box 9530 Terminal, 530 Trembl
Name of Contractor
Roadlast 2000 Inc.
Address of Contractor
2544 Leitrim Rd., Gloucester, ON K1T 3V3

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

Director, Legal Services Branch, 1st. Flr., west Tower, 1201 Wilson Ave., Downsview, ON M3M 1J8