Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-2018 Remove and install new oil water separator and septic tank and tile bed

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, Central Region Operations, 7th F
Name of Contractor
W.D. Harris Excavating Ltd.
Address of Contractor
PO Box 9, Gore’s Landing, ON K0K 2E0

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

Director, Legal Services Branch, 1st Floor, Building B, 1201 Wilson Ave., Downsview, ON M3M 1J8