Form ID

Publication date

Location of premises

Certificate

Supply and Installation of Hardwood Flooring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bridgewater Uxbridge Inc.
Address of Owner
101 Thorncliffe Park Dr., Toronto, ON M4H 1M1
Name of Contractor
Stefanski Ltd.
Address of Contractor
89 Thornmount Dr., Toronto, ON M1B 5V4
Name of Certifier
AW Trusevych Associates Ltd.
Address of Certifier
3901 Highway 7, Unit 401, Woodbridge, ON L4L 8L5

Identification of Premises

Part 1, 2 & 3 on 40R-23699, Part 4 on 40R-19055, Township of Uxbridge

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

101 Thorncliffe Park Drive, Toronto, ON M4H 1M1
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