Form ID

Publication date

Location of premises

Certificate

Ministry of Attorney General, Courthouse, Ottawa, Ontario Replace Flooring, Project No.: F76206

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
Orleans Carpet
Address of Contractor
1449 Youville Dr., Orleans, ON K1C 4R1
Name of Certifier
Mr. Gunar Surinskis
Address of Certifier
Postal Bag 2008, Concession Road, Kemptville, ON K0G 1J0

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley West, 12th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3