Form ID

Publication date

Location of premises

Certificate

Building Caulking

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
CCC 217
Address of Owner
2625 Regina St., Ottawa, ON K2B 5W8
Name of Contractor
Vincent Spirito & Sons
Address of Contractor
1468 Triole Street, Ottawa, ON K1B 3S6
Name of Certifier
Bill Saunders, Property Manager
Address of Certifier
107-265 Poulin Avenue, Ottawa, ON K2B 7Y8

Identification of Premises

2625 Regina Street, in the City of Ottawa, Ontario

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

Urbandale Corporation, 2193 Arch Street, Ottawa, ON K1G 2H5