Form ID

Publication date

Location of premises

Certificate

Contract No. 60-01-17 Supply, Treat & Stockpile Winter Sand at Various Locations within Thunder Bay 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
Address of Owner
615 James Street South, Thunder Bay, ON P7E 6P6
Name of Contractor
Gilbertson Enterprises
Address of Contractor
R.R. #1, Richard’s Landing, ON

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