Form ID

Publication date

Location of premises

Certificate

Alteration Fixture/Building Component

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaws Inc.
Address of Owner
1 Presidents Choice Circle, Brampton, ON L6Y 5S5
Name of Contractor
Re-Con Retail Construction Inc.
Address of Contractor
53 Frederick Street, Millbrook, ON L0A 1G0

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

Steve's No Frills - 20895 Dalton Road, Georgina ON L0E 1R0