Form ID

Publication date

Location of premises

Certificate

QR 217 Spruce River Patrol Yard Dome Rehab & QR 218 Camp 230 Dome Rehab.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Transportation
Address of Owner
615 James Street South, Thunder Bay, ON P7E 6P6
Name of Contractor
Van Pelt Construction Inc.
Address of Contractor
Box 1225, Mitchell, ON N0K 1N0
Name of Certifier
Ministry of Transportation
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 Avenue, 1st Floor, Downsview, Ontario, M3M 1J8