Form ID

Publication date

Location of premises

Certificate

Project #: H14046, Leased Accomodation Interior Renovations

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 Cor
Name of Contractor
D.J. Venasse Construction Limited
Address of Contractor
1630 Cholette St., Box 1110, North Bay, ON P1B 8K4
Name of Certifier
Ontario Realty Corporation
Address of Certifier
3767 Hwy 69 South, Suite 9, Sudbury, ON P3E 4N1

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, Ontario M7A 2G3