Form ID

Publication date

Location of premises

Certificate

York Independent Grocer

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Properties Limited
Address of Owner
3563 Lakeshore Blvd. West.
Name of Contractor
Panigas Building Construction Ltd.
Address of Contractor
946 Edgeley Blvd., Concord, ON L4K 4V4
Name of Certifier
Robert Carnegie
Address of Certifier
3563 Lakeshore Blvd. West, Toronto, ON M8W 1P4

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

Part of Lot 29, Concession 1 Former Township of Clarence now forming Part of the City of Clarence-Rockland