Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Olympia Elevator Service Limited
Address of Owner
940 Lansdowne Ave., Bldg 15, Suite 101, Toronto, ON M6H 3Z4
Name of Contractor
Drainstar Contracting Ltd.
Address of Contractor
989 Creditstone Road, Concord, ON L4K 4N7
Name of Certifier
JSW + Associates
Address of Certifier
20 Mural Street, Unit 10, Richmond Hill, ON L4B 1K3

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

Olympia Elevator Service Limited, 940 Lansdowne Ave., Bldg 15, Suite 101, Toronto, Ontario M6H 3Z4