Form ID

Publication date

Location of premises

Certificate

Design and Construction of New Garage and Demolition of Existing

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
615 James St South, Thunder Bay, ON P7E 6P6
Name of Contractor
RJ Concrete & Construction Ltd.
Address of Contractor
475 Hazelwood Dr., Thunder Bay, ON P7G 1Y5
Name of Certifier
Rachel Brown, Technical Services Supervisor
Address of Certifier
Same as Owner

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

Director, Legal Services Branch 125 Sir William Hearst Ave, 1st Floor Downsview, ON, M3M 1J8