Form ID

Publication date

Location of premises

Certificate

Improvements to existing commercial unit for occupancy by new tenant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Blah Blah Blah Wireless
Address of Owner
21 Harcourt Ave., Toronto, ON M4K 1M3
Name of Contractor
Dasd Contracting Inc.
Address of Contractor
190 Nantucket Blvd., Toronto, ON M1P 2N9.
Name of Certifier
Joseph Bogdan Associates Inc. Architects
Address of Certifier
672 Dupont St., Suite 410, Toronto, ON M6G 1Z6

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

Blah Blah Blah Wireless