Form ID

Publication date

Location of premises

Certificate

Boiler Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Manulife Financial - Ottawa Real Estate Office
Address of Owner
55 Metcalfe Street, Suite 1490, Ottawa, ON K1P 6L5
Name of Contractor
Lar-mex Mechanical Inc.
Address of Contractor
4-5509 Canotek Road, Ottawa, ON K1J 9J8
Name of Certifier
Smith and Andersen Consulting Engineering
Address of Certifier
1600 Carling Ave., Suite 530, Ottawa, ON K1Z 1G3

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

Manulife Financial - Ottawa Real Estate Office, 55 Metcalfe Street, Suite 1490, Ottawa, ON K1P 6L5