Form ID

Publication date

Location of premises

Certificate

Contract No. 20000-0215 Grading Drainage Granular Base, Paving and Patching Hwy. 101 Part A - From South Junction of Hwy. 129 westerly 27.7 km Part B - From 23.8 km east of north junction Hwy. 129, easterly for 21 km at various locations. Part C - From 27.7 km West of Hwy 129 westerly for 17.5 km

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
615 S. James Street, Thunder Bay, ON
Name of Contractor
Lamothe Div. De Sintra
Address of Contractor
1100, Avenue Lariviere, Rouyn-Noranda, Quebec J9X 4K8

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON M3M 1J8