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, 74 2nd Street, Bag 5000, Cochran
Name of Contractor
M.J. Labelle Co. Ltd.
Address of Contractor
109 Hwy 11 W., PO Box 610, Cochrane, ON P0L 1C0

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