Form ID

Publication date

Location of premises

Certificate

Replace Converters HCC, CFSU Ottawa, WA79815.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Department of National Defence.
Address of Owner
HCC CFSU Ottawa, ON.
Name of Contractor
S & R Mechanical
Address of Contractor
2003 St. Joseph Blvd., Orleans, ON.
Name of Certifier
Defence Construction Canada.
Address of Certifier
347 Croil Street, Ottawa, ON.

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

347 Croil St., Ottawa, ON.