Form ID

Publication date

Location of premises

Certificate

Comfort Station/ Picnic Shelter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources
Address of Owner
c/o Bronte Creek Provincial Park, 1219 Burloak Drive, R.R. #
Name of Contractor
Martin-Stewart Contracting (1995) Ltd.
Address of Contractor
126 Catharine Street S., Box 91186 Effort Square PO, Hamilto

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

Ministry of Natural Resources, Legal Services Branch, Rm. 3420, Whitney Block, 99 Wellesly St. W., Toronto, ON M7A 1W3