Form ID

Publication date

Location of premises

Certificate

Contract No. 99-109 Grading, Drainage, Hot Mix Paving and Illumination.

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, 1201 Wilson Ave., Downsview, ON
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
Ministry of Transportation.
Address of Certifier
1201 Wilson Ave., Downsview, ON M3M 1J8.

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 M3M 1J8.