Form ID

Publication date

Location of premises

Certificate

Warehouse & Office Addition.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
764079 Ontario Limited.
Address of Owner
565 Edgeley Blvd., Concord, ON L4K 4G4.
Name of Contractor
Bird Construction Company.
Address of Contractor
5405 Eglinton Ave. W., Suite 206, Etobicoke, ON M9C 5K6.
Name of Certifier
OTBO Architect.
Address of Certifier
625 Cochrane Dr., Suite 102, Markham, ON L3R 9R9.

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

764079 Ontario Limited, 565 Edgeley Blvd., Concord, ON L4K 4G4.