Form ID

Publication date

Location of premises

Certificate

New Convenience Store & Gas Bar

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shell Canada Products
Address of Owner
90 Sheppard Ave. E., Toronto, ON
Name of Contractor
Laurin & Company
Address of Contractor
43 Auriga Drive, Nepean, ON

Identification of Premises

Block O, Registered Plan 719, City of Mississauga