Form ID

Publication date

Location of premises

Certificate


FORM 7
SUBSECTION 33
(1) OF THE ACT

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This is to certify the completion of a subcontract for the supply of services or materials between Camp Forming Limited and 2153973 Ontario Limited dated the 20th day of September 2010
The subcontract provided for the supply of the following services or materials:

To the following improvement: Concrete Formwork

Participants

Name of Owner
2153973 Ontario Limited
Address of Owner
94 Kenhar Drive, Unit 12, Toronto, ON M9L 1N2
Name of Contractor
Fieldgate Construction Management Limited
Address of Contractor
5400 Yonge Street, Suite 405, Toronto, ON M2N 5R5

Identification of Premises

In the City of Toronto (formerly in the City of Scarborough) being comprised of part of Lot 1, Registered Plan 5723, designated as Part 2, Plan 66R-23749 being all of P.I.N. 0649-0209(LT)