Form ID

Publication date

Location of premises

Certificate

Supply material and install Moon Stone Countertops

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1826919 Ontario Inc.
Address of Owner
3985 Highway 7 East, Suite 202, Markham, ON L3R 2A2
Name of Contractor
Gallant Marble Company Limited
Address of Contractor
30 East Pearce St, Richmond Hill, ON L4B 1B7
Name of Certifier
Life Construction Inc.
Address of Certifier
3985 Highway 7 East, Suite 202, Markham, ON L3R 2A2

Identification of Premises

Block 2, Plan 65M4395; City of Markham

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

3985 Highway 7 East, Suite 202, Markham, ON, L3R 2A2