Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete interior alterations and finishes

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
SME Pizza Ontario Ltd.
Address of Owner
3555 Don Mills Rd., Toronto, ON M2H 3N3
Name of Contractor
On-Site Construction
Address of Contractor
2061 Portway Avenue, Mississauga, ON L5H 3M6
Name of Certifier
Tangram Architect Inc.
Address of Certifier
60 Truman Rd. North York, ON M2L 2L6

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

SME Pizza Ontario Ltd., 3555 Don Mills Rd., Toronto, ON M2H 3N3