Form ID

Publication date

Location of premises

Certificate

Structure Deck Replacement on Existing Beams

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Stormont Dundas and Glengarry
Address of Owner
20 Pitt Street, Cornwall, ON K6J 3P2
Name of Contractor
Louis W. Bray Construction Ltd.
Address of Contractor
17460 Conc. 9A East, RR#1, St. Andrews West, ON K0C 2A0
Name of Certifier
S. Taylor, P. Eng.
Address of Certifier
100 Craig Henry Drive, Ottawa, ON K2G 5W3

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

National Capital Engineering, 100 Craig Henry Dr., Ottawa, ON