Form ID

Publication date

Location of premises

Certificate

Hardware Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1590721 Ontario Inc.
Address of Owner
PO Box 1191, Richmond, ON K0A 2Z0
Name of Contractor
Douglas Kazda
Address of Contractor
PO Box 1191, Richmond, ON K0A 2Z0
Name of Certifier
Kaztec
Address of Certifier
RR #2, Almonte, ON K0A 1L0

Identification of Premises

Part Unit 12, PL 4D21, being Part 1 on 4R19207, Ottawa - PIN 04437-0250 (LT)