Form ID

Publication date

Location of premises

Certificate

Contract # 3009-11 Supply, Treat and Stockpile Winter Sand

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, Contracts and Operations Office,
Name of Contractor
Donegan's Haulage Ltd.
Address of Contractor
PO Box 99, Listowel, ON N4W 3H2

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8@@B@@