Form ID

Publication date

Location of premises

Certificate

Contract No: 50-00-05 Surface Treatment on Hwys. 520 and 559

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
207 Main Street West, Huntsville, ON P1H 1Z9.
Name of Contractor
Miller Paving.
Address of Contractor
505 Miller Avenue, Markham, ON L6G 1B2
Name of Certifier
Bill Woodruff
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.