Form ID

Publication date

Location of premises

Certificate

Renovation to Dr’s Office

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Carol Harris
Address of Owner
3532 Commerce Crt., Burlington, ON L7N 3L7
Name of Contractor
Ira McDonald Construction Ltd.
Address of Contractor
986 Cumberland Avenue, Burlington, ON L7N 3J6
Name of Certifier
Leonard Harris
Address of Certifier
3532 Commerce Crt., Burlington, ON

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

3532 Commerce Crt., Burlington, ON L7N 3L7