Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-3424 Hot Mix HL-4 Asphalt Patching Highway #8, 4.4 kms East of the East Limits of the Town of Mitchell

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
Ministry of Transportation, Regional Operations Office, 659
Name of Contractor
Yundt Brothers Construction Limited
Address of Contractor
PO Box 367, Stratford, ON N5A 6T3

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, ON M3M 1J8