Form ID

Publication date

Location of premises

Certificate

Eye Institute Level 2 East.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital General Campus.
Address of Owner
501 Smyth Road, Ottawa, ON.
Name of Contractor
Bradford Construction.
Address of Contractor
PO Box 3397, Stn. C, Ottawa, ON.
Name of Certifier
R.P. Thompson U.P. Facilities Management.
Address of Certifier
Ottawa Hospital, 1053 Carling Ave., Ottawa, ON K1Y 4E9.

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

As above.