Form ID

Publication date

Location of premises

Certificate

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, New Liskeard, ON P0J 1P0
Name of Contractor
Miller Paving Northern
Address of Contractor
437110 Hawn Drive, P.O. Box 502, New Liskeard, ON P0J 1P0

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 0B5