Form ID

Publication date

Location of premises

Certificate

Atrium Skylight Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Nepean
Address of Owner
Ben Franklin Place, 101 Centrepointe Drive, Nepean, Ontario
Name of Contractor
Greely Glass & Mirror Ltd.
Address of Contractor
1357 Stagecoach Road, Greely, ON K4P 1E5
Name of Certifier
Brook Van Dalen & Associates Limited
Address of Certifier
33 Beddington Avenue, Nepean, Ontario

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

City of Nepean, Ben Franklin Place, 101 Centrepointe Drive, Nepean, Ontario