Form ID

Publication date

Location of premises

Certificate

NforNo Pizza Interior fit out was done for Pizza restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Steve Berm
Address of Owner
Unit A6, 6795 Airport Road, Mississauga
Name of Contractor
GreenFrog Construction Inc.
Address of Contractor
#8-53 Woodstream Blvd., Vaughan, ON

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

GreenFrog Construction Inc., #8-53 Woodstream Blvd., Vaughan-L4L 7Y8