Form ID

Publication date

Location of premises

Certificate

Hwy 407 P2-Asphalt site works on Section 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen
Address of Owner
MTO, Legal Services, 777 Bay St, 6th floor, ON M5G 3C8
Name of Contractor
Miller Paving Limited
Address of Contractor
PO Box 4080, Markham Industrial Park PO, Markham, ON L3R 9R8
Name of Certifier
Gabriel Medel-Carratala
Address of Certifier
78 Richmond St W, 2nd floor, Oshawa, ON L1G 1E1

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

78 Richmond St W, 2nd floor, Oshawa, ON L1G 1E1