Form ID

Publication date

Location of premises

Certificate

SSB 049335 Load, Haul and Place Granular A at N.O.R.T. Road Pickle Lake Northerly

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, 615 James Street South, Thunder
Name of Contractor
Moncrief Construction Limited
Address of Contractor
R.R. #1, Kenora, ON P9N 3W7

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

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