Form ID

Publication date

Location of premises

Certificate

Contract No.: 2001-4253 Centreline crack repair on Hwy. 417 between Limoges Rd. and Casselman, both directions

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 PO Box 9530 530 Tremblay Road, Ot
Name of Contractor
Beaver Road Builders
Address of Contractor
3500 Rideau Road, Gloucester ON K1G 3N4

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