Form ID

Publication date

Location of premises

Certificate

Contract #2005-5641 Precast Concrete Box Culvert on Hwy 124 West of Hwy 11

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, Maintenance and Operation Huntsv
Name of Contractor
Miller Paving
Address of Contractor
Miller Paving, 5537 Highway 11 North, Box 565, North Bay, ON

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8
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