Form ID

Publication date

Location of premises

Certificate

Interior Retrofit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brewers Retail Inc.
Address of Owner
2055 Mount Forest Drive, Burlington, ON L7P 1H4
Name of Contractor
Walter’s Contracting
Address of Contractor
PO Box 1442, Everett, ON L0M 1J0

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

Mount Forest Development, 1329 Treeland Street, Burlington, ON L7R 3T5