Form ID

Publication date

Location of premises

Certificate

Construction of sewers, watermain and road work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
110 Laurier Ave., Ottawa, ON
Name of Contractor
Ottawa Greenbelt Construction
Address of Contractor
2615 Delzotto Ave Gloucester ON K1T 3V6
Name of Certifier
As owner
Address of Certifier
As owner

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

City of Ottawa