Form ID

Publication date

Location of premises

Certificate

Supply & installation of laminate & engineered flooring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Queen Simcoe Inc.
Address of Owner
3755 Victoria Park Ave, Toronto, ON M1W 3Z4
Name of Contractor
Pacific Hardwood Limited o/a Reliable Lumber Products
Address of Contractor
15 Fenmar Drive, Toronto, ON M9L 1L4

Identification of Premises

Part 1, Plan 66R-27095 DIN: 21411-0075 (LT)