Form ID

Publication date

Location of premises

Certificate

Contract # 2010-5736 Granular "A", Supply and Stockpile

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, 159 Cedar St., Suite 503, 5th Fl
Name of Contractor
Interpaving Limited
Address of Contractor
76 Loach's Rd., Sudbury, ON P3E 2P7

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