Form ID

Publication date

Location of premises

Certificate

SSHA

Date certificate signed:

Participants

Name of Owner
Smart Systems For Health
Address of Owner
415 Yonge Street, 19th Floor, Toronto, ON M5B 2E7
Name of Contractor
Twin General Contracting
Address of Contractor
85 Newkirk Road North, Richmond Hill, ON L4C 3G4
Name of Certifier
Fernanda Pontes
Address of Certifier
304 The East Mall, Suite 300, Toronto, ON M9B 6B7

Identification of Premises

SSHA - 415 Yonge Street, 14th Floor

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

304 The East Mall, Suite 300, Toronto, ON M9B 6B7