Form ID

Publication date

Location of premises

Certificate

Interior Partioning, Dryden OGB, 479 Government Road, Dyden Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Ontario Realty Corportion
Address of Owner
Director, Contract Management Branch Ontario Reealty Corpora
Name of Contractor
Dave McKay Construction
Address of Contractor
P.O. Box 520 Dryden, ON P8N 2Z2
Name of Certifier
Ron Olejnikow
Address of Certifier
Suite 102, 810 Robertson St., Kenora, ON P9N 4J5

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

Director of Legal Services Ontario Realty Corporation, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3