Form ID

Publication date

Location of premises

Certificate

7th Floor: Coronary Care Unit.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital.
Address of Owner
1053 Carling Ave., Ottawa, ON K1Y 4E9.
Name of Contractor
Massicotte Bros.
Address of Contractor
319 Palace Street, Vanier, Ontario K1L 7V5.

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

As above.