Form ID

Publication date

Location of premises

Certificate

Underground Traffic Control

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
175 Loretta Ave. North, Ottawa, ON
Name of Contractor
O'Leary's Limited
Address of Contractor
3200 Rideau Road, Ottawa, ON
Name of Certifier
Ray Noble, P. Eng.
Address of Certifier
Same as owner

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

City of Ottawa, 175 Loretta Ave. North, Ottawa, ON K1Y 4L8