Form ID

Publication date

Location of premises

Certificate

Supply and Place concrete curbs and sidewalks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Davidson Heights Co-Tenancy c/o Tartan Land Corp.
Address of Owner
331 Cooper Street, 4th Floor, Ottawa, ON K2P 0G5
Name of Contractor
Doran Contractors
Address of Contractor
3187 Albion Road S., Ottawa, ON K1V 8Y3
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
1770 Woodward Drive, Ottawa, ON K2C 0P8

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

Davidson Heights Co-Tenancy - c/o Tartan Land Corp., 331 Cooper Street, 4th Floor, Ottawa, ON K2P 0G5 Attention