Form ID

Publication date

Location of premises

Certificate

New Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Moxie's Classic Grill
Address of Owner
31 Hopewell Way NE, Calgary, Alberta T3J 4V7
Name of Contractor
Gaydon Contractors Ltd.
Address of Contractor
80 Fulton Way, Suite 203, Richmond Hill, ON L4B 1J5
Name of Certifier
Laurids Skaarup
Address of Certifier
31 Hopewell Way NE, Calgary, Alberta T3J 4V7

Identification of Premises

1 Yorkdale Road, Unit #30, Toronto, ON

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

31 Hopewell Way NE, Calgary, Alberta T3J 4V7