Form ID

Publication date

Location of premises

Certificate

Pulverizing, Reshaping and Hot Mix Paving, two areas along Highway #28 one area along Highway #121 and one area along Highway #62.

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
Northland Bitulithic Ltd.
Address of Contractor
Box 1299, Peterborough, ON K7J 7H5.
Name of Certifier
Bill Charters.
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.