Form ID

Publication date

Location of premises

Certificate

Site Servicing, Grading & Asphalt Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Curtain Club
Address of Owner
400 Newkirk Road, Richmond Hill, ON L4C 3G7
Name of Contractor
Dom-Meridian Construction Ltd.
Address of Contractor
1021 Meyerside Drive, Unit 10, Mississauga, ON L5T 1J6
Name of Certifier
Anton Kikas Limited
Address of Certifier
168 Bridgeland Ave., Toronto, ON M6A 1Z4

Identification of Premises

Block D, Registered Plan 5518, Part Lot 50, Concession 1, E.Y.S.

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

The Curtain Club