Form ID

Publication date

Location of premises

Certificate

Ministry of Health Psychiatric Hospital Brockville, Ontario Repairs to Porch Project No.: F75016

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
John Gordon Construction
Address of Contractor
830 Campbell Street, Unit 2, Cornwall, ON K6H 6L7
Name of Certifier
Mr. Ron Wettlaufer
Address of Certifier
14 Gable Lane, South Cottage Kingston ON K7M 9A7

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