Form ID

Publication date

Location of premises

Certificate

Exterior Door Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Public Works Canada
Address of Owner
Ottawa, Hull
Name of Contractor
Daoust Moore Construction Inc.
Address of Contractor
1829 Bank Street, Ottawa, ON K1V 7Z6
Name of Certifier
Sarah Shark
Address of Certifier
90 Elgim Street, 4th Floor, Ottawa, ON

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

Public Works and Government Services Canada