Form ID

Publication date

Location of premises

Certificate

Contract #2002-3257, Barrier Wall Encapsulation and repairs.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Transporation.
Address of Owner
Box 910, 870 Richmond Street, Chatham, Ont. N7M 5L3.
Name of Contractor
Underground Services (1983) Ltd.
Address of Contractor
135 Commercial Rd., Bolton, ON L7E 1R6
Name of Certifier
Mr. Richard vandenBoorn, c/o Ministry of Transportation.
Address of Certifier
Box 910, 870 Richmond Street, Chatham, Ont. N7M 5L3

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

Ministry of Transportation, 870 Richmond St., Chatham, Ont. N7M 5L3.