Form ID

Publication date

Location of premises

Certificate

Drywall Insulation an Ceiling Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2108001 Ontario Inc.
Address of Owner
1 Steelcase Road West, Unit 7, Markham, ON L3R 0T3
Name of Contractor
Maxum Drywall
Address of Contractor
40 Trowers Road, Unit #1, Woodbridge, ON L4L 7K6
Name of Certifier
2108001 Ontario Inc.
Address of Certifier
1 Steelcase Road West, Unit 8, Markham, ON L3R 0T3

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

1 Steelcase Road West, Unit 8, Markham, ON L3R 0T3