Form ID

Publication date

Location of premises

Certificate

Contract No. LDC 30-99-21 Selective Resurfacing - Highway 401 from 0.9 km west of Putnam Road Easterly to 2.0 km west of Culloden Road.

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, London/Stratford District, 659 E
Name of Contractor
Capital Paving Inc.
Address of Contractor
Lot 22, Concession 7, Township of Puslinch, PO Box 815, Guel
Name of Certifier
S. Paslawski.
Address of Certifier
659 Exeter Road, London, ON N6E 1L3.

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ont. M3M 1J8.