Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
Legal Department, 110 Laurier Avenue West, Ottawa, Ont.
Name of Contractor
Vanson Construction Limited
Address of Contractor
5545 Albion Rd. S., Ottawa Ont.
Name of Certifier
Max Ross, P. Eng.
Address of Certifier
560 Rochester Street, 2nd Floor, Ottawa, Ont.

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

City of Ottawa, Legal Department, 110 Laurier Ave. West, Ottawa, Ont. K2P 2L7.