Form ID

Publication date

Location of premises

Certificate

Project #: W60075 Fire Alarm Retrofit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty the Queen in right of Ontario as represented by the
Address of Owner
Vice-President Project Management Branch, Ontario Realty Cor
Name of Contractor
Macton Electrical Construction Ltd.
Address of Contractor
PO Box 853, 212 VanBuren Street, Kemptville, ON K0G 1J0
Name of Certifier
William Kuffner of Leber Rubes Inc.
Address of Certifier
1725 St. Laurent Blvd., Suite 225, Ottawa, ON K1G 3V4

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3