Form ID

Publication date

Location of premises

Certificate

Contract No. ISD-16-5159

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
Goldie Mohr Ltd.
Address of Contractor
3862 Moodie Drive, Ottawa, ON K2J 5B1
Name of Certifier
Jeff DeLoyde
Address of Certifier
Same as Owner

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

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