Form ID

Publication date

Location of premises

Certificate

W41000 Repairs to brickwork, concrete and wall flashings

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty The Queen in right of Ontario as represented by the
Address of Owner
Vice-President Project Management Branch, Ontario Realty Cor
Name of Contractor
Jeffrey J. Wallans Construction Limited
Address of Contractor
1212 Branscombe Road, Brighton, ON K0K 1H0
Name of Certifier
L.E. Glazer Architect Limited
Address of Certifier
85 Scarsdale Road, Suite 300, Toronto, ON M3B 2R2

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, Ontario M7A 2G3
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