Form ID

Publication date

Location of premises

Certificate

Window Replacement Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1213763 Ontario Inc.
Address of Owner
95 High Park Avenue, Toronto, ON M6P 2R8
Name of Contractor
Maxim Group General Contracting Limited
Address of Contractor
PO Box 249, 56 Gordon Collin Drive, Gormley, ON L0H 1G0
Name of Certifier
Stephenson Engineering Limited
Address of Certifier
2550 Victoria Park Avenue, Suite 602, Toronto, ON M2J 5A9

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

95 High Park Avenue, Toronto, Ontario M6P 2R8