Form ID

Publication date

Location of premises

Certificate

Structure & Enclosure Concrete Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Urbandale Riverside Gate Incorporated
Address of Owner
2193 Arch Street, Ottawa, ON K1G 2H5
Name of Contractor
Bellai Brothers Construction Ltd.
Address of Contractor
30, rue Adrien Robert, Gatineau, QC J8Y 3S2
Name of Certifier
Roger Tuttle, Construction Manager
Address of Certifier
2193 Arch Street, Ottawa, ON K1G 2H5

Identification of Premises

Urbandale Riverside Gate Inc., 3580 Rivergate Way, Ottawa, ON K1V 1V5

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

Urbandale Riverside Gate Incorporated, 2193 Arch Street, Ottawa, ON K1G 2H5
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