Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ozner Corporation
Address of Owner
30 Pennsylvania Avenue, Unit 16, Concord, ON L4K 4A5
Name of Contractor
TACC Construction Limited
Address of Contractor
270 Chrislea Road, Woodbridge, ON L4L 8A8
Name of Certifier
Cosburn Patterson Mather Limited
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham, ON L3R 4B9.

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

Ozner Corporation, 30 Pennsylvania Avenue, Unit 16, Concord, ON L4K 4A5