Form ID

Publication date

Location of premises

Certificate

Contract No: 50-99-48 Traffic Lights at Intersection of Hwy. 35 & 118.

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, 207 Main Street West, Huntsville
Name of Contractor
Shipman Electric Ltd.
Address of Contractor
R.R. #3, Parry Sound, ON P2A 2W9.
Name of Certifier
MTO
Address of Certifier
207 Main Street West, Huntsville, ON P1H 1Z9.

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 M3N 1J8.