Form ID

Publication date

Location of premises

Certificate

Supply & installation of laminate & engineered flooring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
501 St. Clair Avenue West Ltd.
Address of Owner
501 St. Clair Avenue West Toronto
Name of Contractor
Pacific Hardwood Limited o/a Reliable Lumber Products
Address of Contractor
15 Fenmar Drive, Toronto, ON M9L 1L4

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

501 St. Clair Avenue West