Form ID

Publication date

Location of premises

Certificate

Leasehold improvements.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Phase 4 Health Inc.
Address of Owner
250 Ferrand Drive, Suite 1003, Toronto, ON M3C 3G8.
Name of Contractor
Jesslin Interiors Limited.
Address of Contractor
25 Faulkland Road, Scarborough, ON M1L 3S4.
Name of Certifier
DePM Inc.
Address of Certifier
80 Shafesbury Ave., Toronto, ON M4T 1A3

Identification of Premises

250 Ferrand Drive, Suite 1003, Toronto, ON M3C 3G8

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

Jesslin Interiors Limited.