Form ID

Publication date

Location of premises

Certificate

Culvert Rehabilitation, Structure No. 9720, Regional Road No. 174. Contract No. 98-704.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Ottawa-Carleton.
Address of Owner
Regional Clerk, Region of Ottawa-Carleton, Ottawa-Carleton C
Name of Contractor
Martin & Martin General Contractors.
Address of Contractor
28 Lennon Drive, Gloucester, ON K1V 1G9.
Name of Certifier
W.A. Gryz, P.Eng.
Address of Certifier
111 Lisgar Street, Ottawa, ON K2P 2L7.

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

Regional Clerk, Region of Ottawa-Carleton, Ottawa-Carleton Centre, 111 Lisgar Street, Ottawa, ON K2P 2L7.