Form ID

Publication date

Location of premises

Certificate

Contract No. 60-99-71 Load, Haul & Place Granular Base on Nungessor Road.

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
808 Robertson St., P.O. Box 5070, Kenora, ON P9N 3X9.
Name of Contractor
Moncrief Construction Ltd.
Address of Contractor
R.R. #1, Redditt Road, Kenora, ON P9N 3W7.
Name of Certifier
MTO
Address of Certifier
808 Robertson St., Box 5070, Kenora, ON P9N 3X9.

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

Director of Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON, M3M 1J8.