Form ID

Publication date

Location of premises

Certificate

Interim Emeg/ I.C.U.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital General Campus.
Address of Owner
501 Smyth Road, Ottawa, ON K1H 8L6.
Name of Contractor
M.P. Lundy.
Address of Contractor
375 Metcalfe Street.
Name of Certifier
R.P. Thompson V.P. Facilities Management.
Address of Certifier
As owner.

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

Owner as above.