Form ID

Publication date

Location of premises

Certificate

OSS # 079182 Pulverize, Grading, Drainage and Granular Base, Hwy 569, from 12.8 km North of south Jct Hwy 11, northerly 15.2 km, various locations

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, 500 Rockley Road, P.O. Box 1390,
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
PO Box 2409, Hwy 11 & 65 West, New Liskeard, ON P0J 1P0

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