Form ID

Publication date

Location of premises

Certificate

Contract # 2010-5667 Pulverize, Grading, Drainage, Supply and Place Granular 'A' on Hwy 652 from Jct. Genier Rd. E'ly 10.0 km & from 11.3km to 12.66 km

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, 74 2nd Street, Bag 5000, Cochran
Name of Contractor
A. Miron Topsoil Ltd.
Address of Contractor
#883265 Hwy 65E., Box 1377, New Liskeard, ON P0J 1P0

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