Form ID

Publication date

Location of premises

Certificate

Contract No: 2003-6252 Rout & Seal at Various Locations within Sault Ste. Marie District

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
Minstry of Transportation 70 Foster Drive, 4th Floor, Suite
Name of Contractor
Roadlast 2000 Inc.
Address of Contractor
2644 Leitrim Road, Gloucester, ON K1T 3V3

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

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