Form ID

Publication date

Location of premises

Certificate

Contract # 2005-5639 Frost Heave Treatment and Selective Resurfacing Highway 17

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, 447 McKeown Avenue, North Bay, O
Name of Contractor
Miller Paving North Bay
Address of Contractor
P.O. Box 565, Highway 11 North, North Bay, ON P1B 8J5

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8