Form ID

Publication date

Location of premises

Certificate

to supply, deliver and install South Lobby millwork as per plans by Ysabel Gauvreau Design, 3590 Rivergate Way Ottawa, ON K1V 1V6

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Urbandale Riverside Gate Incorporated
Address of Owner
2193 Arch Street, Ottawa, ON K1G 2H5
Name of Contractor
Alaska Wood industries
Address of Contractor
8850 Overpass Road, Ashton, ON K0A 1B0
Name of Certifier
Andre Lambert Vice-President
Address of Certifier
2193 Arch Street, Ottawa, ON K1G 2H5

Identification of Premises

Urbandale Riverside Gate Inc., 3590 Rivergate Way, Ottawa, ON K1V 1V6

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

Urbandale Riverside Gate Incorporated, 2193 Arch Street, Ottawa, ON K1G 2H5