Form ID

Publication date

Location of premises

Certificate

Contract No. ISB02-5014 Castlefrank Road Modifications, Aird Place to Hazeldean Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Ottawa
Address of Owner
City Clerk, 110 Laurier Ave. West, Ottawa, ON K1P 1J1
Name of Contractor
R.W. Tomlinson Limited.
Address of Contractor
5597 Power Rd., Gloucester, ON K1G 3N4
Name of Certifier
Bob Singleton
Address of Certifier
as owner

Identification of Premises

Castlefrank Road - Aird Place to Hazeldean Road

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

City Clerk