Form ID

Publication date

Location of premises

Certificate

Window Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Universal Structural Restoration Ltd.
Address of Owner
4128 Hwy. #7, Unionville, ON L3R 1L6
Name of Contractor
Columbia High Rise Windows Inc.
Address of Contractor
132 Jardin Drive, Unit 8, Concord, ON L4K 1X9

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

484 Church St., Suite 115, Toronto, ON M4Y 2C7