Form ID

Publication date

Location of premises

Certificate

Contract 2002-5254, Selective Resurfacing

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, 447 McKeown Ave., Ste. 301, Nort
Name of Contractor
Lafarge Canada Inc. Central Division
Address of Contractor
Box 716, 175 Progress Crt., North Bay, ON P1B 8J8

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

Ministry of Transportation, 447 McKeown Ave., Ste. 301, North Bay, ON P1B 9S9