Form ID

Publication date

Location of premises

Certificate

Road Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Urbandale Corporation
Address of Owner
2193 Arch Street, Ottawa, ON K1G 2H5
Name of Contractor
Dibblee Paving & Materials Limited
Address of Contractor
P.O. Box 11068, Nepean, ON K2H 7T5
Name of Certifier
Dillon Consulting Limited
Address of Certifier
200-5310 Canotek Rd., Gloucester, ON K1J 9N5

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

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