Form ID

Publication date

Location of premises

Certificate

Concrete Forming, Concrete Placement and Rebar Placement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
454 Yonge Limited Partnership
Address of Owner
1075 Bay Street, Suite 400, Toronto, ON M5S 2B1
Name of Contractor
Forma-Con Construction (A Division of 1428508 Ontario Limited)
Address of Contractor
407 Basaltic Road, Concord, ON L4K 4W8
Name of Certifier
454 Yonge Limited Partnership
Address of Certifier
400-36 Lombard Street, Toronto, ON M5C 2X3

Identification of Premises

Plan 159

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

454-460 Yonge Street, Toronto, Ontario