Form ID

Publication date

Location of premises

Certificate

Partial Re-Tubing of Boilers #2 & #3

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
77 Wellesley St., Ferguson Block, Queens Park, Toronto, ON M
Name of Contractor
Bacon Engineering Limited
Address of Contractor
5233 Dundas Street West Suite 308, Etobicoke, ON M9B 1A6
Name of Certifier
Alan F. Ogilvie, P.Eng.
Address of Certifier
Ogilvie Consultants Limited, 23 Croydon Rd., Toronto, ON M6C

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

O.R.C. 77 Wellesley St., Ferguson Block, Queens Park, Toronto, ON M7A 1N3