Form ID

Publication date

Location of premises

Certificate

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, 347 Preston Street, 4th Floor, Ottawa, ON K1S 3J4
Name of Contractor
Coco Paving Inc.
Address of Contractor
751 Dalton Avenue, Kingston, ON K7M 8N6

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 0B5