Form ID

Publication date

Location of premises

Certificate

Selective Resurfacing, Contract #: 2005-5606

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in Right of Ontario as represented by the Minister of Transporation
Address of Owner
Ministry of Transportation, 159 Cedar Street, 5th Floor, Sui
Name of Contractor
K.J. Beamish Construction Co. Limited
Address of Contractor
P.O. Box 250, King City, ON L7B 1B2

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

Ministry of Transportation, 159 Cedar Street, 5th Floor, Suite 503, Sudbury, ON P3E 6A5