Form ID

Publication date

Location of premises

Certificate

Supply & Installation of Carpet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1353464 Ontario Inc.
Address of Owner
25 Centurian Drive, Suite 201, Markham, ON L3R 5N8
Name of Contractor
Quality Rugs of Canada Limited
Address of Contractor
20 East Beaver Creek Road, Richmond Hill, ON L4G 1B6

Identification of Premises

Part of Lots 13, 14 & 15, West side of Victoria Street, according to a plan registered in the Registry Division of the Toronto Registry Office as Plan 22-A

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

25 Centurian Drive, Suite 201, Markham, Ontario L3R 5N8