Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
111 Sussex, Ottawa, ON K1N 5A1
Name of Contractor
Vanson Construction Ltd.
Address of Contractor
5545 Albion Rd., Gloucester, ON K1X 1A2
Name of Certifier
City of Ottawa
Address of Certifier
As owner

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

City of Ottawa, 111 Sussex, Ottawa, ON K1N 5A1