Form ID

Publication date

Location of premises

Certificate

Interior Store Renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
c/o The Beer Store
Address of Owner
5900 Explorer Drive, Mississauga, ON L4W 5L2
Name of Contractor
Gen-Pro Construction
Address of Contractor
4179 Harvester Road, Unit #1B, Burlington, ON L7L 5M4
Name of Certifier
Coates-Boulton Associates Inc.
Address of Certifier
155 Rexdale Blvd., Suite 607, Toronto, ON M9W 5Z8

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

5900 Explorer Drive, Mississauga, ON L4W 5L2