Form ID

Publication date

Location of premises

Certificate

Supply and Install Roofing Materials at the Grafton Patrol

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as Represented by the Ministry of Transportation
Address of Owner
50 Monck Street, Box 300, Bancroft, ON K0L 1C0
Name of Contractor
French Brothers Roofing
Address of Contractor
185 Wellington St., Belleville, ON K8P 3W9
Name of Certifier
S.R. Riddell Maint. Superintendent
Address of Certifier
50 Monck Street, Box 300, Bancroft, ON K0L 1C0

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

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