Form ID

Publication date

Location of premises

Certificate

Contract #: 2000-0233, Hwy 71, Nestor Falls, Southerly 28.4 km

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in Right of Ontario as represened by the Minister of Transportation.
Address of Owner
Ministry of Transportation, Construction Office, 615 James S
Name of Contractor
Camaro Enterprises.
Address of Contractor
555 Kapelus Dr., West St. Paul, MAN R4A 5A4.

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

615 James St. S., Thunder Bay, ON P7C 4X9