Form ID

Publication date

Location of premises

Certificate

Undrcard Fitness/Boxing Studio

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2663958 Ontario Ltd.
Address of Owner
425 Adelaide St W Toronto, ON M5V 3C1
Name of Contractor
Panther Creative Inc.
Address of Contractor
112 1533 Broadway St., Port Coquitlam BC V3C 6P3

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

112-1533 Broadway St., Port Coquitlam, BC V3C 6P3