Form ID

Publication date

Location of premises

Certificate

To provide all labour, material and equipment to replace gas-fired boilers.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Department of National Defence D.N.D.
Address of Owner
Hangar 11, Miller St., Hangar 14, Miller St.
Name of Contractor
S & R Mechanical
Address of Contractor
2003 St. Joseph Blvd., Orleans, ON.
Name of Certifier
Defence Construction Canada.
Address of Certifier
347 Croil Street, Ottawa, ON.

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

347 Croil St., Ottawa, ON.