Form ID

Publication date

Location of premises

Certificate

Interior Alterations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Great Atlantic & Pacific Company of Canada.
Address of Owner
P.O. Box 68, Station A.
Name of Contractor
Above Board Construction Inc.
Address of Contractor
1885 Clements Rd., Unit 203, Pickering, ON L1W 3V4.
Name of Certifier
The Great Atlantic & Pacific Company.
Address of Certifier
P.O. Box 68, Station A c/o Paul R. Gilroy.

Identification of Premises

Block A of Pine Garden Sub Div. South Half of Lot 4, Conn. 4.