Form ID

Publication date

Location of premises

Certificate

Contract No. ISD16-3003

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1
Name of Contractor
Cornwall Gravel Co. Ltd.
Address of Contractor
390 Eleventh St W, Cornwall, ON K6J 3B2
Name of Certifier
Francisco Gomez-Gonzalez
Address of Certifier
Same as Owner

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

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