Form ID

Publication date

Location of premises

Certificate

Ministry of Natural Resources “Aircraft Hanger Upgrade” MNR Service Centre, Dryden, Ontario Project No. X85121

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Ontario Realty Corportion
Address of Owner
Director, Contract Management Branch Ontario Realty Corporat
Name of Contractor
Lakehead Roofing & Sheet Metal Co. (1983) Ltd.
Address of Contractor
1439 Roslyn Rd., RR 1, Thunder Bay, ON
Name of Certifier
W.J. Sobiski
Address of Certifier
Suite 102, 810 Robertson St., Kenora, ON P9N 4J5

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

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