Form ID

Publication date

Location of premises

Certificate

Interior fit-out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Old Navy c/o Gap Inc
Address of Owner
901 Cherry Ave., San Bruno, CA 94066
Name of Contractor
Planit Construction Company Inc.
Address of Contractor
4362 Chesswood Drive, Toronto, ON M3J 2B9

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

Old Navy #3329 - London, 1270 Wellington Rd South, London, ON N8E 1M3