Form ID

Publication date

Location of premises

Certificate

Contract #: 2002-3006 From Norfolk Rd. 51 Tillsonburg, Easterly to 0.3 km East of Norfolk Rd. 38 Courtland

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 J. Hambleton, Area Construction E
Name of Contractor
Cayuga Materials and Construction Co. Ltd.
Address of Contractor
R.R. #4, Cayuga, Ont. N0A 1E0.

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Ave., Downsview, Ont. M3M 1J8.