Form ID

Publication date

Location of premises

Certificate

HVAC Alterations and repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Pat De Angelis
Address of Owner
3014 O'Hagan Dr., Mississauga, ON L5C 2C5
Name of Contractor
Vertex Construction Inc.
Address of Contractor
3014 O'Hagan Dr., Mississauga, ON L5C 2C5
Name of Certifier
Pat De Angelis
Address of Certifier
3014 O'Hagan Dr., Mississauga, ON L5C 2C5

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

CCDC Document 9A