Form ID

Publication date

Location of premises

Certificate

Replace Drainage & Piping on EL1.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital Civic Campus.
Address of Owner
1053 Carling Ave., Ottawa, ON K1Y 4E9.
Name of Contractor
Bradford Construction.
Address of Contractor
PO Box 3397, Stn. C, Ottawa, ON.
Name of Certifier
R.P. Thompson V.P. Facilities Management.
Address of Certifier
Ottawa Hospital Civic Site, 1053 Carling Ave., Ottawa, ON K1

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

Owner as above.