Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, 1355 John Counter Boulevard, Postal Bag 4000, Kingston, ON K7L 5A3
Name of Contractor
Coco Paving Inc.
Address of Contractor
1600 Westbrook Road Kingston, ON K7P 2Y7

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

Director, Legal Services Branch, 125 Sir William Hearst Avenue, 1st Floor, Downsview, Ontario M3M 0B5