Form ID

Publication date

Location of premises

Certificate

Renovation of workship place

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dixon Hall
Address of Owner
188 Carlton St
Name of Contractor
Perfect Homes Inc.
Address of Contractor
73 Delroy Drive, Toronto
Name of Certifier
Ivan S. Franko Architect
Address of Certifier
5359 Dundas St. West, #200, Toronto

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

58 Sumach Street, Toronto