Form ID

Publication date

Location of premises

Certificate

Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
CCM of Canada
Address of Owner
3850 Sheppard Ave. East, Unit 100, Agincourt Mall, ON M1T 3L
Name of Contractor
P.C. Control Systems Inc.
Address of Contractor
63 Silver Star Blvd., Unit C7, Scarborough, ON M1V 5E5
Name of Certifier
Doris Cheung, Doris Cheung Architect
Address of Certifier
20 Wertheim Ct., Unit 20, Richmond Hill, L4B 3A8

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

3850 Sheppard Ave. East, Unit 100, Agincourt Mall, Ontario