Form ID

Publication date

Location of premises

Certificate

Second Floor Tenant Office Fit Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand & Cedar GP Inc.
Address of Owner
700 Rupert Street, Unit A, Waterloo, ON N2V 2B4
Name of Contractor
MelloulBlamey Construction Inc.
Address of Contractor
700 Rupert Street, Unit A, Waterloo, ON N2V 2B4
Name of Certifier
MartinSimmons Architects Inc.
Address of Certifier
200-113 Breithaupt Street, Kitchener, ON N2H 5G9

Identification of Premises

96 Grand Avenue South, Cambridge, Ontario N1S 2L9

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

See Part A