Form ID

Publication date

Location of premises

Certificate

Hwy 527 Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Transportation,
Address of Owner
615 James St South, Thunder Bay, ON P7E 6P6
Name of Contractor
Bernt Gilbertson Enterprises Ltd.
Address of Contractor
R.R. #1, Richards Landing, ON
Name of Certifier
Ministry of Transportation,
Address of Certifier
615 James St South, Thunder Bay, ON P7E 6P6

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

Ministry of Transportation of Ontario, Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Toronto, Ontario M3M 0B5