Form ID

Publication date

Location of premises

Certificate

window washing safety equipment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Queen Simcoe Inc.
Address of Owner
130 Spadina Avenue, Ste. 708, Toronto, ON
Name of Contractor
Pro-Bel Enterprises Limited
Address of Contractor
765 Westney Rd., S., Ajax, ON
Name of Certifier
Queen Simcoe Inc.
Address of Certifier
130 Spadina Avenue, Ste. 708, Toronto, ON

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

Queen Simcoe Inc., 219 Queen St E., Toronto, ON