Form ID

Publication date

Location of premises

Certificate

Diagnostic Imaging Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hospital for Sick Children
Address of Owner
555 University Ave., Toronto, ON
Name of Contractor
Olar Limited.
Address of Contractor
19 Chauncey Avenue, Etobicoke, ON M8Z 2Z2
Name of Certifier
Rybka Smith & Ginsler Limited
Address of Certifier
18 Champlain Blvd., Toronto, ON M3H 2Z1

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

555 University Ave., Toronto, ON M5G 1X8