Form ID

Publication date

Location of premises

Certificate

Parking Lot, Sewer and Watermain Upgrades.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Queensway Carleton Hospital.
Address of Owner
3045 Baseline Road, Nepean, Ont. K2H 8P4.
Name of Contractor
Karson Kartage & Konstruction (1994) Limited.
Address of Contractor
3725 Carp Road, Carp, (Ontario) K0A 1L0.
Name of Certifier
Novatech Engineering Consultants Ltd.
Address of Certifier
17-77 Auriga Drive, Nepean, Ont. K2E 7Z7.

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

Queensway Carleton Hospital, Attn