Form ID

Publication date

Location of premises

Certificate

Tenant Fit-Up

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Smith Petrie Carr and Scott Insurance Brokers
Address of Owner
6th Floor, 359 Kent Street
Name of Contractor
M.P. Lundy Construction Limited
Address of Contractor
375 Metcalfe St., Ottawa, ON K2P 1S7

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

359 Kent Street, 6th Floor