Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Minto Developments
Address of Owner
427 Laurier Ave. West, Suite 300, Ottawa ON K1R 7Y2
Name of Contractor
Vanson Construction Ltd.
Address of Contractor
5545 Albion Rd., Gloucester, ON K1X 1A2
Name of Certifier
Atrell Engineering
Address of Certifier
380 Laurier St., Rockland, ON K4K 1C2

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

Minto Developments Inc.