Form ID

Publication date

Location of premises

Certificate

Interior Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Nxcare Ltd.
Address of Owner
1680 Tech Avenue, Unit 1, Mississauga
Name of Contractor
Elite Construction
Address of Contractor
160 Applewood Crescent, Concord, ON
Name of Certifier
KBH Interior Design Inc.
Address of Certifier
225 Richmond Street West, Suite 201, Toronto, ON M5V 1W2

Identification of Premises

1680 Tech Avenue, Unit 1, Mississauga

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

1680 Tech Avenue, Unit 1, Mississauga
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