Form ID

Publication date

Location of premises

Certificate

Addition and Interior alteration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. & Mrs. Garncarz
Address of Owner
1563 Broadmoor Ave., Mississauga, ON.
Name of Contractor
Confra Construction Inc.
Address of Contractor
P.O.Box 1312, Station B, Weston, ON M9L 2W9.
Name of Certifier
C.Y.Lee Architect
Address of Certifier
200 Finch Ave., West, Suite 204, Toronto, ON M2R 3W4

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

c/o C.Y.Lee Architect, 200 Finch Ave., West, Suite 204, Toronto, ON M2R 3W4