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, 50 Monck St PO Box 300, Bancroft, ON K0L 1C0
Name of Contractor
Emcon Services Inc.
Address of Contractor
Fraserville Patrol Yard, 6611 Hwy 7, Caven, ON K9J 6Z9

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