Form ID

Publication date

Location of premises

Certificate

Dome Rehab Nickle Lake & Manitou Patrol Yards QR208

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hey Majesty The Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
615 James Street South, Thunder Bay, ON P7E 6P6
Name of Contractor
Kenon Builders Inc.
Address of Contractor
Unit C, 661 9th Street North, Kenora, ON P9N 2S9
Name of Certifier
Rachel Brown Technical Services Supervisor, MTO
Address of Certifier
615 James Street South, Thunder Bay, ON P7E 6P6

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

Director, Legal Services Branch, 125 Sir William Hearst Ave, 1st Floor Downsview, ON M3M 1J8