Form ID

Publication date

Location of premises

Certificate

Ceramic, Marble, Granite, Carpet Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Paletta International Corp.
Address of Owner
4480 Paletta Court, Burlington, ON L7L 5R2
Name of Contractor
Guest Tile Inc.
Address of Contractor
603 Millway Ave. Unit 6, Concord, ON L4K 3V1
Name of Certifier
Vhberto Basso
Address of Certifier
603 Millway Ave. Unit 6, Concord, ON L4K 3V1

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

4480 Paletta Court, Burlington, L7L 5R2