Form ID

Publication date

Location of premises

Certificate

Office and Warehouse

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
6084532 Canada Corp.
Address of Owner
6691 Edwards Blvd., Mississauga, ON L5T 2H8
Name of Contractor
First Gulf Design Build Inc.
Address of Contractor
6860 Century Avenue, East Tower, Suite 1000, Mississauga, ON
Name of Certifier
Construction Control Inc.
Address of Certifier
70 Haist Ave., Woodbridge, ON L4L 5V4

Identification of Premises

Plan M947 Pt 2 Blk 7

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

6860 Century Ave. Suite 1000, East Tower, Mississauga, ON L5N 2W5