Form ID

Publication date

Location of premises

Certificate

Backflow Preventer Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
IBM
Address of Owner
8250 Warden Avenue, Markham, ON
Name of Contractor
The State Group Inc.
Address of Contractor
3206 Orlando Drive, Mississauga, ON L4V 1R5
Name of Certifier
The Mitchell Partnership Inc.
Address of Certifier
285 Yorkland Boulevard, Toronto, ON M2J 1S5

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

CBRE Limited, 3600 Steeles Avenue East, Markham, Ontario L3R 9Z7