Form ID

Publication date

Location of premises

Certificate

Management Board Secretariat MATG Court House/Registry Alterations Gore Bay, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Ontario Realty Corporation
Address of Owner
Director Contract Management Branch, Ontario Realty Corporat
Name of Contractor
343315 Ontario o/a Laro Construction
Address of Contractor
1251 Fairburn Ave., Sudbury, ON P3A 1N6
Name of Certifier
Sav Rocca
Address of Certifier
199 Larch St., Suite 603, Sudbury, ON P3E 5P9

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

Director of Legal Services, Ontario Realty Corporation, Ferguson Block, Queens Park, Toronto, ON M7A 1N3