Form ID

Publication date

Location of premises

Certificate

Hot Mix Paving, Median Barier and Illumination.

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 Ontario.
Address of Owner
Postal Bag 4000, 355 Counter Street, Kingston, ON K7L 5A3.
Name of Contractor
Dufferin Construction Company.
Address of Contractor
690 Dorval Drive, Suite 200, Oakville, ON L6K 3W7.
Name of Certifier
P. Fitzsimmons, Head, Construction Office.
Address of Certifier
Postal Bag 4000, 355 Counter Street, Kingston, ON K7L 5A3.

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

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