Form ID

Publication date

Location of premises

Certificate

Supply & Install Wood Flooring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Intracorp Developments (French Quarter) Ltd.
Address of Owner
25 Centurian Drive, Suite 201, Markham, ON L3R 5N8
Name of Contractor
The Rose Wood Flooring Inc.
Address of Contractor
49 Bakersfield Street, Toronto, ON M3J 1Z3

Identification of Premises

FQ Phase I Part of Lots 1, 2, 3 & 4 on Registered Plan 558 designated as Parts 1 & 2 on Ref. Plan 66R-18542 (Save & except Part 1 on 66R-18819) FQ Phase II Lot 9, Registered Plan 9A & those parts of Block A, Lot 4 & Lane on Registered Plan 558, designated as Parts 1, 2, 3, 4, 5, 6 & 7 on Ref. Plan 66R-19702

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

25 Centurian Drive, #201, Markham, ON L3R 5N8