Form ID

Publication date

Location of premises

Certificate

Acres P.S. Upgrades Contract No. 1520893662

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa,
Name of Contractor
Black & McDonald
Address of Contractor
2460 Don Reid Dr., Ottawa, ON K1H 1E1
Name of Certifier
Jim Hill, P. Eng.
Address of Certifier
Same as owner

Identification of Premises

PIN # 0470255

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

City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1