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, 615 James Street South, Thunder Bay, ON P7E 6P6
Name of Contractor
Atlantic Industries Ltd.
Address of Contractor
640 Waydom Drive, Ayr, ON N0B 1E0

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