Form ID

Publication date

Location of premises

Certificate

Highway 417 and Terry Fox Drive Modifications, Contract No. ETL01-5104

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk City of Ottawa, 110 Laurier Ave W., Ottawa, ON K1
Name of Contractor
J & P Leveque Bros. Haulage Ltd.
Address of Contractor
R.R. #2, Mira St., Bancroft ON K0L 1C0
Name of Certifier
Jamel Toeg, P.Eng.
Address of Certifier
As owner

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

Clerk City of Ottawa, 110 Laurier Ave West, Ottawa, ON K2P 2L7