Form ID

Publication date

Location of premises

Certificate

Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Beer Store
Address of Owner
5900 Explorer Drive, Mississauga, ON L4W 5L2
Name of Contractor
The Dae Group Construction
Address of Contractor
11 Deverell Street, Whitby, ON L1R 1W4
Name of Certifier
Coates-Boulton Assoc. Inc.
Address of Certifier
155 Rexdale Blvd., Suite 607, Toronto, ON M9W 5Z8

Identification of Premises

531 Bayfield Street, Barrie, ON

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

The Beer Store, 5900 Explorer Drive, Mississauga, ON L4W 5L2