Form ID

Publication date

Location of premises

Certificate

Custom Built Home

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wayne Swadron
Address of Owner
102 Sandringham Road, Toronto, ON
Name of Contractor
Urbacon Custom Homes Limited
Address of Contractor
5 Lower Sherbourne St., Suite 200, Toronto, ON M5A 2P3
Name of Certifier
Urbacon Custom Homes Limited
Address of Certifier
5 Lower Sherbourne St., Suite 200, Toronto, ON M5A 2P3

Identification of Premises

102 Sandringham Road, Toronto, ON

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

102 Sandringham Road, Toronto, ON