Form ID

Publication date

Location of premises

Certificate

Water Supply Piping

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, Profac Facilities Management Services Inc.,
Name of Contractor
L.J. Barton Mechanical Inc.
Address of Contractor
1346 Osprey Drive, Ancaster, ON L9G 4V5
Name of Certifier
Duaine Bell
Address of Certifier
One Stone Road West, Guelph, ON N1G 4Y2

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

Director of Legal Services Ontario Realty Corporation, Ferguson Block, Queens Park, Toronto, ON M7A 1N3