Form ID

Publication date

Location of premises

Certificate

Supply and Installation of Carpet

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Antelope Hills Construction Ltd.
Address of Owner
300-80 Tiverton Court, Markham, ON L3R 0G4
Name of Contractor
Conquest Carpet/Trust Flooring Group
Address of Contractor
4965 Steeles Ave. W., North York, ON M9L 1R4
Name of Certifier
Joseph Tomasov, P. Eng.
Address of Certifier
300-80 Tiverton Court, Markham, ON L3R 0G4

Identification of Premises

Parts 3, 5 & 7, Plan 66R-18799, Block 8