Form ID

Publication date

Location of premises

Certificate

Contract No. LDC 30-99-17 Hot Mix Patching - Hwy. 3 From Aylmer to Carter Road.

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
659 Exeter Road, London, ON N6E 1L3.
Name of Contractor
Cayuga Materials and Construction.
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0.
Name of Certifier
S. Paslawski.
Address of Certifier
659 Exeter Road, London, ON N6E 1L3.

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.
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