Form ID

Publication date

Location of premises

Certificate

Selective Resurfacing of Hwy. #417 East Bound at km #46 to #48 and 4 areas on Hwy #34 north of Hwy #417.

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
P.O. Box 9530, 530 Tremblay Rd., Ottawa, ON K1G 0E4.
Name of Contractor
Cornwall Gravel Company Ltd.
Address of Contractor
PO Box 67-390 Eleventh St. W., Cornwall, ON K6H 5R9.
Name of Certifier
Sam Cheng, District Engineer.
Address of Certifier
P.O. Box 9530, 530 Tremblay Rd., Ottawa, ON K1G 0E4.

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.