Form ID

Publication date

Location of premises

Certificate

Window Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Richview Baptist Foundation
Address of Owner
105 Clement Rd., Toronto, ON
Name of Contractor
Bowie Contracting Ltd.
Address of Contractor
11 Cardico Drive, Units 9 & 10, Gormley, ON L0H 1G0
Name of Certifier
Belanger Engineering
Address of Certifier
1060 Britannia Road E., Unit 23, Mississauga, ON L4W 4T1

Identification of Premises

105 Clement Rd.

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

Richview Baptist Foundation, 1540 Kipling Ave., Etobicoke, ON M9R 4C6