Form ID

Publication date

Location of premises

Certificate

Interior Tenant Fit Up and Finishes

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ivara
Address of Owner
5046 Mainway Street, Burlington, ON
Name of Contractor
Mirus Construction Group
Address of Contractor
5160 Explorer Drive, Mississauga
Name of Certifier
KBH Interior Design Inc.
Address of Certifier
225 Richmond Street West, Suite 201, Toronto, ON

Identification of Premises

5046 Mainway Street, Burlington, ON

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

5046 Mainway Street, Burlington, ON