Form ID

Publication date

Location of premises

Certificate

Contract No. 40-98-75 To remove and dispose of petroleum contaminated soil at North Gower patrol to a designated landfill site.

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
6680 Regional Road No. 5, North Gower, ON.
Name of Contractor
Demo Plus 1186993 Ontario Inc.
Address of Contractor
Box 367, 3314 Second Street East, Cornwall, ON K6H 5T1.
Name of Certifier
Tom Kelly.
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.