Form ID

Publication date

Location of premises

Certificate

Contract No.: SSB-059582 Ministry of Natural Resources Southern Region, Midhurst District, Bridge Removals

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources
Address of Owner
300 Water Street 3rd Floor, North Tower Peterborough ON K9J
Name of Contractor
Owen King Limited
Address of Contractor
R.R. 2, Box 104, 87 Brant Sideroad 15 Walkerton, ON N0G 2V0
Name of Certifier
Henderson Paddon & Associates Limited
Address of Certifier
945 3rd Avenue East Suite 212, Owen Sound, ON N4K 2K8

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

Director, Legal Services Branch, Room 6420 Whitney Block, 99 Wellesley Street West, Toronto, ON M7A 1W3