Certificate of Completion

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Form ID

Publication date

Location of premises

Ottawa-Carleton Region,

Township of Osgoode,

Township of Osgoode,

Certificate

Underground Utilities, Street Lighting and Road Construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. Lambert Van Rens.
Address of Owner
8284 Van Rens Rd., Metcalfe, ON K0A 2P0.
Name of Contractor
A.L. Blair Construction Ltd.
Address of Contractor
Moose Creek, ON K0C 1W0.
Name of Certifier
Neil A. Levac Engineering Ltd.
Address of Certifier
1-2884 Laporte St., Rockland, ON K4K 1M6.

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

Neil A. Levac Engineering Ltd., 1-2884 Laporte St., Rockland, ON K4K 1M6.
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