Form ID

Publication date

Location of premises

Certificate

Boiler Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ottawa Carleton Catholic District School Board
Address of Owner
570 West Hunt Club Rd., Ottawa, ON K2G 2R4
Name of Contractor
Capital Air Conditioning Ltd.
Address of Contractor
9 Antares Dr., Ottawa, ON K2E 7V5
Name of Certifier
Bekolay Gillard & Associates Ltd.
Address of Certifier
1827 Woodward Dr., Suite 200, Ottawa, ON K2C 0P9

Identification of Premises

See Above

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

See Owner Above
Print