Form ID

Publication date

Location of premises

Certificate

Interior Fit Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
639281 Ontario Ltd.
Address of Owner
1046 Yonge Street, Toronto, ON M4W 2L1
Name of Contractor
Gillam Group Inc.
Address of Contractor
36 Northline Road, Toronto, ON M4B 3E2
Name of Certifier
Studio JCI Inc.
Address of Certifier
20 De Boers Drive, Suite 525, Toronto, ON M3J 0H1

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

1046 Yonge Street, Toronto, ON M4W 2L1