Form ID

Publication date

Location of premises

Certificate

Contract No. 50-99-13 Double Surface Treatment, Hwy. 560 - Various Locations.

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, Ontario
Address of Owner
P.O. Box 1390, New Liskeard, ON P0J 1P0.
Name of Contractor
Miller Paving Ltd.
Address of Contractor
P.O. Box 4080, Markham, ON L3R 9R8.
Name of Certifier
S. McLellan.
Address of Certifier
P.O. Box 1390, New Liskeard, ON P0J 1P0.

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON M3M 1J8.