Form ID

Publication date

Location of premises

Certificate

Pavement Marking, various locations throughout 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 Street, Box 300, Bancroft, ON K0L 1C0.
Name of Contractor
Trillium Pavement Marking (Ont.) Ltd.
Address of Contractor
1550 Liverpool Court, Unit 5, Ottawa, ON K1B 4L2
Name of Certifier
Chip Watson, Services Supervisor
Address of Certifier
50 Monck Street, 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