Form ID

Publication date

Location of premises

Certificate

Base Building, Core and Shell

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Meir Dick
Address of Owner
408-22 Shallmar Blvd, Toronto
Name of Contractor
Collaborative Structures Limited
Address of Contractor
6683 Ellis Road, Cambridge
Name of Certifier
mcCallumSather
Address of Certifier
286 Sanford Ave N

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

408-22 Shallmar Blvd, Toronto, ON M5N 2Z8 - attention Meir Dick