Form ID

Publication date

Location of premises

Certificate

Interior Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Belmore Neidrauer LLP
Address of Owner
77 King Street West, Suite 4020, Toronto, ON M5K 2A1
Name of Contractor
CLI Group
Address of Contractor
1315 Pickering Parkway, Suite 205, Pickering, ON L1V 7G5

Identification of Premises

77 King Street West, Suite 4020, Toronto, Ontario, M5K 2A1

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

Belmore Neidrauer LLP