Form ID

Publication date

Location of premises

Certificate

Loading Docks and Associated Site Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2209449 Ontario Inc.
Address of Owner
455 Gibraltar Dr.
Name of Contractor
Camrob Enterprises o/b 665750 Ontario Ltd.
Address of Contractor
455 Gibraltar Dr.
Name of Certifier
Sandro Soscia, P. Eng.
Address of Certifier
455 Gibraltar Dr.

Identification of Premises

455 Gibraltar Drive, Mississauga

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

455 Gibraltar Drive, Mississauga