Form ID

Publication date

Location of premises

Certificate

Ministry of Natural Resources, Riverside Drive, Pembroke, Ontario Establish Common Service Counter Project No. P75602.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
Walsh Bros. Mechanical.
Address of Contractor
R.R. #7, Pembroke, ON K8A 6W8.
Name of Certifier
Mr. Hugh Craig.
Address of Certifier
Postal Bag 2008, Concession Road, Kemptville, ON K0G 1J0.

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 12th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3.