Form ID

Publication date

Location of premises

Certificate

Contract No. 60-99-09 Crush & Stockpile Granular A and Class 2 Aggregate.

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, 615 S. James Street, Thunder Bay
Name of Contractor
Gilbertson Enterprises.
Address of Contractor
R.R. #1, Richards Landing, St. Joseph Island, ON P0R 1J0.
Name of Certifier
MTO
Address of Certifier
615 S. James St., Thunder Bay, ON P7C 6P6.

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8.