Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-3005 Grading, drainage, granular base, and hot mix paving at Highway #8 Clinton east limits to Seaforth west limits. (11.9 kms)

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, Southwestern Region, 659 Exeter
Name of Contractor
Lavis Contracting Ltd.
Address of Contractor
RR #2, Clinton, ON N0M 1L0

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Ave., Downsview, ON M3M 1J8