Form ID

Publication date

Location of premises

Certificate

Alterations Fixture/Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Inc.
Address of Owner
1 Presidents Choice Circle, Brampton, ON L6Y 5S5
Name of Contractor
Re-Con Retail Construction Inc.
Address of Contractor
1472 Thornton Road N., Oshawa, ON L1H 7K4

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

50 Dundurn Street South, Hamilton, Ontario L8P 4W3 - Fortinos C&C