Form ID

Publication date

Location of premises

Certificate

Maternal & Newborn Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital Civic.
Address of Owner
1053 Carling Ave., Ottawa, ON K1Y 4E9.
Name of Contractor
Bradford Construction.
Address of Contractor
PO Box 3397, Station C, Ottawa, ON K1Y 4J6.

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

Owner as above.