Form ID

Publication date

Location of premises

Certificate

To supply and intall ceramic floor/wall tiles

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sharon Valley Developments Inc.
Address of Owner
300 - 80 Tiverton Court, Markham, ON L3R 0G4
Name of Contractor
Mega City Tiling
Address of Contractor
8-390 Edgeley Boulevard, Concord, ON L4K 1B2
Name of Certifier
Jay Libfeld
Address of Certifier
Same as Above

Identification of Premises

Part of Block E, Plan M-902

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

Same as Above
Print