Form ID

Publication date

Location of premises

Certificate

To provide all labour, materials, tools, equipment and supervision required to complete interior alterations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
199 Upper Canada Dr. Limited, c/o Minto Management Limited.
Address of Owner
1200 Sheppard Ave., Ste. 201, Toronto, Ont. M2K 2S5.
Name of Contractor
HN Construction Limited
Address of Contractor
1270 Finch Avenue West, Unit #11, Toronto, ON M3J 2E4
Name of Certifier
Tangram Architect Inc.
Address of Certifier
60 Truman Rd., North York, Ont. M2L 2L6.

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

199 Upper Canada Dr. Limited, c/o Minto Management Limited, 1200 Sheppard Ave. E., Ste. 201, Toronto, Ont. M2K 2S5.