Form ID

Publication date

Location of premises

Certificate

Storm Drain Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sezeyi Simsek
Address of Owner
22 Elm Grove Ave Richmond Hill, ON L4E 2T1
Name of Contractor
Robert Laforge
Address of Contractor
4105 5th Line, Innisfil, ON L9S 3L4

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

1901277 Ont. Limited operating at Can-Lift Contracting