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, 437 McKeown Ave Suite 301, North Bay, ON P1B 9S9
Name of Contractor
Miller Paving Limited
Address of Contractor
505 Miller Avenue Box 4080 Markham, ON L6G 1B2

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