Form ID

Publication date

Location of premises

Certificate

Culvert No. 8828 Replacement, Regional Road No. 19 Osgoode Contract No. ETL 00-7006

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Ottawa-Carleton
Address of Owner
Regional Clerk, Region of Ottawa-Carleton, Ottawa-Carleton C
Name of Contractor
George W. Drummond Limited
Address of Contractor
30 Rideau Heights Drive, Nepean, Ont. K2E 7A6.
Name of Certifier
W. Gryz, P.Eng.
Address of Certifier
As owner.

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

Regional Clerk, Region of Ottawa-Carleton, Ottawa-Carleton Centre, 111 Lisgar Street, Ottawa, ON K2P 2L7