Form ID

Publication date

Location of premises

Certificate

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, 207 Main Street West, Huntsville, ON P1H 1Z9
Name of Contractor
Fowler Construction Company Limited
Address of Contractor
PO Box 630, 1206 Rosewarne Drive, Bracebridge, ON P1L 1T9

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 1J8