Form ID

Publication date

Location of premises

Certificate

Supply & install marble vanity counter tops

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1353464 Ontario Inc.
Address of Owner
25 Centurian Drive, Suite 201, Markham, ON L3R 5N8
Name of Contractor
Concord Marble of Canada
Address of Contractor
219 Connie Crescent Unit 10, Concord, ON L4K 1L4

Identification of Premises

Part of Lots 11, 12 & 13 West side of Victoria Street, according to a plan registered in the Registry Division of the Toronto Registry Office as Plan 22A

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

25 Centurian Drive, Suite 201, Markham, ON L3R 5N8