Form ID

Publication date

Location of premises

Certificate

Treat and Stockpile Winter Sand (Various Patrols in the Bancroft district).

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 Ontario.
Address of Owner
50 Monck Road, Box 300, Bancroft, ON K0L 1C0.
Name of Contractor
Doughty Aggregates.
Address of Contractor
R.R. #3, Lakefield, ON K0L 2H0.
Name of Certifier
Peter Slater, Maintenance Superintendent.
Address of Certifier
50 Monck Road, Box 300, Bancroft, ON K0L 1C0.

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON M3M 1J8.