Form ID

Publication date

Location of premises

Certificate

Additions & Alterations to Shell Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Aitia Investments Ltd.
Address of Owner
c/o 7577 Keele St. #100, Concord, ON L4K 4X3
Name of Contractor
Owner
Address of Contractor
As above
Name of Certifier
Arcos Incorporated
Address of Certifier
100-7577 Keele St., Concord, ON L4K 4X3

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

7577 Keele St., Concord, ON L4K 4X3