Form ID

Publication date

Location of premises

Certificate

QR 212 Close Cut Clearing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Transportation
Address of Owner
615 James Street South, Thunder Bay, ON P7E 6P6
Name of Contractor
K.A. VanderZwaag Construction Inc.
Address of Contractor
24 Twin City Crossroad, Rosslyn, ON P7K 0C6
Name of Certifier
Ministry of Transportation
Address of Certifier
615 James Street South, Thunder Bay, ON P7E 6P6

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario, M3M 1J8