Form ID

Publication date

Location of premises

Certificate

Opthamology Riverside Campus.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Hospital, Riverside Campus.
Address of Owner
1967 Riverside Drive.
Name of Contractor
M.P. Lundy Construction.
Address of Contractor
375 Metcalfe St.

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

Owner as above.