Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kanata
Address of Owner
580 Terry Fox Dr., Kanata, ON K2L 4C2
Name of Contractor
Vanson Construction Ltd.
Address of Contractor
5545 Albion Rd., Gloucester, ON K1X 1A2
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
1770 Woodward Drive, Ottawa, ON K2C 0P8

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

City of Kanata, 580 Terry Fox Drive, Kanata, Ontario K2L 4C2 Attn