Form ID

Publication date

Location of premises

Certificate

Built Gas Station/ Convenience Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
United Gas Bar/ 757703 Ont. Ltd.
Address of Owner
336 Broadway Ave., Orangeville L9W 2Y9
Name of Contractor
Clarkway Construction Ltd.
Address of Contractor
11411 Clarkway Drive, Brampton, ON L6T 3Z8
Name of Certifier
United Gas Bar/757703 Ont. Ltd.
Address of Certifier
336 Broadway Ave. West, Orangeville, ON

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

Town of Orangeville