Form ID

Publication date

Location of premises

Certificate

New Industrial Mall

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
TSM Southgate Inc.
Address of Owner
386 Laird Road, Guelph, ON
Name of Contractor
Ramar Contractors Inc.
Address of Contractor
449 Laird Road, Guelph, ON N1G 4W1
Name of Certifier
TSM Southgate Inc.
Address of Certifier
386 Laird Road, Guelph, ON

Identification of Premises

Plan 680, Lot 37

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

449 Laird Road, Guelph, ON N1G 4W1