Form ID

Publication date

Location of premises

Certificate

Interior retail renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Blvd. E., Toronto, ON
Name of Contractor
Campa Construction (Sudbury) Limited
Address of Contractor
352 St. Charles Lk. Rd., Sudbury, ON

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

Store Planning Department - LCBO, 2nd Floor, 55 Lakeshore Blvd. E., Toronto, Ontario