Form ID

Publication date

Location of premises

Certificate

Payless ShoeSource, #5930 Quinte Mall, CRU F5, Belleville, Ontario.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Payless ShoeSource Canada Inc., 191 The West Mall, Suite 1100, Etobicoke, ON M9C 5K8.
Address of Owner
Payless ShoeSource Canada Inc., c/o Blake Cassels & Gray
Name of Contractor
Carwood Store Fixtures Limited.
Address of Contractor
139 Ardelt Avenue, Kitchener, ON N2C 2E1
Name of Certifier
Rhodes Project Management Ltd.
Address of Certifier
624 King St. W., 2nd Floor, Toronto, ON M5V 1M7.

Identification of Premises

Quinte Mall, CRU F5, Belleville, ON.