Form ID

Publication date

Location of premises

Certificate

Route and Seal Asphalt Cracks, Highway 7 from Jct. former Highway 38 at Sharbot Lake Westerly for 10.0 km

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
Mister Sealer Corp.
Address of Contractor
98 Bayswater Ave., Ottawa, ON K1Y 2G1
Name of Certifier
Peter Slater, Engineering Services Supervisor (A)
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