Form ID

Publication date

Location of premises

Certificate

Asphaltic Overlay on Diamondview Rd Etc. Contract No. ISB06-5006

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa,
Name of Contractor
Karson Kartage & Konstruction (1994) Limited
Address of Contractor
P.O. Box 264, 3725 Carp Road, Carp, ON K0A 1L0
Name of Certifier
Miles Levesque
Address of Certifier
as owner

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

City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1