Form ID

Publication date

Location of premises

Certificate

New Ball Diamond & Pathway Lighting

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa (Old City of Nepean)
Address of Owner
Longfield Drive (Nepean)
Name of Contractor
Black & McDonald Ltd.
Address of Contractor
2460 Don Reid Dr., Ottawa ON K1H 1E1
Name of Certifier
Wayne Scharf (Clemann Large Patterson)
Address of Certifier
15 Fitzgerald Road, Nepean, ON K2H 9G1

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

City of Ottawa