Form ID

Publication date

Location of premises

Certificate

Construction of a new home

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mike Morrissey
Address of Owner
10 Cosmo Rd., Etobicoke, ON
Name of Contractor
Marcus Design Build Inc.
Address of Contractor
35 McCleary Court, Unit 3, Vaughan, ON L4K 3J9

Identification of Premises

Private Home @ 10 Cosmo Road, Etobicoke, Ontario

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

35 McCleary Court, Unit 3, Vaughan, ON L4K 3J9