Form ID

Publication date

Location of premises

Certificate

Ministry of Natural Resources, 300 Water Street, Peterborough, Ontario Office Alterations - 3rd/4th/5th Floors, Project No.: X73413

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
John Kloosterman General Contractors Limited
Address of Contractor
1542 Stewart Street, 12th Line, Cavan, ON L0A 1C0
Name of Certifier
Mr. Dave Bell
Address of Certifier
South Cottage 14 Gable Lane, Kingston, ON K7M 9A7

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

Director, Legal Services Branch, Management Board Secretariat, 7 Queens Park Crescent, Room 228, Frost Building South, Queens Park, Toronto, ON M7A 1Z5.