Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete the renovations and additions

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1265534 Ontario Inc.
Address of Owner
100 Park Royal, Suite 300, West Vancouver, BC V7T 1A2
Name of Contractor
Cairn Construction Ltd.
Address of Contractor
21 Kern Road, Toronto, ON M3B 1S9
Name of Certifier
1265534 Ontario Inc.
Address of Certifier
100 Park Royal, Suite 300, West Vancouver, BC V7T 1A2

Identification of Premises

Lot 21, Concession 3 Fronting the Humber Part 1, Plan 64R-6930

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

#300-100 Park Royal, West Vancouver, BC V7T 1A2