Form ID

Publication date

Location of premises

Certificate

Window Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
CityPark Co-op Apts. Inc.
Address of Owner
484 Church St., Suite 115, Toronto, ON
Name of Contractor
Universal Structural Restoration Ltd.
Address of Contractor
4128 Hwy. #7, Unionville, ON L3R 1L6
Name of Certifier
Vishnu Roopnarine
Address of Certifier
12 Caronia Square, Scarborough, ON M1B 2Z8

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

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