Form ID

Publication date

Location of premises

Certificate

Your Independent Grocer.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Properties Ltd.
Address of Owner
3563 Lakeshore Blvd. W., Toronto, ON M8W 1P4
Name of Contractor
Panigas Building Construction Ltd.
Address of Contractor
946 Edgeley Blvd., Concord, ON L4K 4V4
Name of Certifier
Pauline Biladeau.
Address of Certifier
3563 Lakeshore Blvd. W., Toronto, ON M8W 1P4

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

Loblaw Properties Ltd., 3563 Lakeshore Blvd. W., Toronto, Ont. M8W 1P4