Form ID

Publication date

Location of premises

Certificate

Contract No. 98-261 Grading, Drainage, Granular Base and Hot Mix Paving

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, 500 Rockley Road, New Liskeard,
Name of Contractor
Grant Paving & Materials Ltd.
Address of Contractor
Box 248 Hwy 11B North, New Liskeard, ON P0J 1P0

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

Ministry of Transportation, 500 Rockley Road New Liskeard ON P0J 1P0