Form ID

Publication date

Location of premises

Certificate

Interior & Exterior Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Black Saxon QRC Inc.
Address of Owner
18 King Street East, Suite 1602, Toronto, ON M5C 1C4
Name of Contractor
Dalton Engineering & Construction Limited.
Address of Contractor
1140 Castlefield Avenue, Toronto, ON M6B 1E9.
Name of Certifier
Black Saxon QRC Inc.
Address of Certifier
18 King St. East, Suite 1602, Toronto, ON M5C 1C4

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

92, 98, 100 & 114 Richmond St. E./93, 99, 107-109, 111, 115 & 123 Queen Street East, Toronto, ON