Form ID

Publication date

Location of premises

Certificate

Contract #2010-4298 Full Depth Concrete Repairs and Hot Mix Asphalt 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, Port Hope Area Office, 138 Hope
Name of Contractor
Miller Paving Limited
Address of Contractor
505 Miller Ave., P.O. Box 4080, Markham, ON L3R 9R8

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8