Form ID

Publication date

Location of premises

Certificate

Interior Tenant Work Fitness Facility

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Manulife Financial
Address of Owner
393 University Ave., Suite 1607, Toronto
Name of Contractor
Michael Thomas Construction
Address of Contractor
344 Edgeley Blvd., Unit 21, Concord, ON L4K 4B7
Name of Certifier
Mole White & Associates
Address of Certifier
260 King St. W., Suite 320, Toronto, ON

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

Manulife Financial, 393 University Ave., Suite 1607, Toronto, ON