Form ID

Publication date

Location of premises

Certificate

Contract #: SSB 018518 Selective resurfacing on Hwys #11, 124, 118 and 518

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 St., Huntsville, ON P1H
Name of Contractor
Fowler Construction
Address of Contractor
PO Box 630, Bracebridge, ON P1L 1T9

Office to which claim for lien must be given to preserve lien

Director, Legal Services Branch 1st Floor West Tower, 1201 Wilson Ave, Downsview, ON M3M 1J8