Form ID

Publication date

Location of premises

Certificate

Culvert Rehabilitation Structure No. 8850 Regional Road No. 31 Osgoode Contract No. ETL 99-7009

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
Dufferin Construction Company A Division of St. Lawrence Cement Inc.
Address of Contractor
2314 Carp Road, R.R. #3, Carp, ON K0A 1L0.
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.