Form ID

Publication date

Location of premises

Certificate

Contract # 50-00-37 W.P. 5420-00-00 Hwy. 17 3.4 km West of Hwy 69 Easterly to 2.8 km West of Hwy. 69

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
Purchasing Office, Shared Services Bureau, 447 McKeown Ave.,
Name of Contractor
Warren Bitulithic Limited
Address of Contractor
5625 Nortre Dame Ave., PO Box 310, Hanmer, ON P3P 1T2

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

Purchasing Office, Shared Services Bureau, 447 McKeown Ave., Suite 301, North Bay, ON P1B 9S9