Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
KS Tecumseh Mall INC.
Address of Owner
161 Bay St., Suite 1500 Box 602 Toronto ON M5J 2S1
Name of Contractor
Fortis Construction Group Inc.
Address of Contractor
3070 Jefferson Blvd, Windsor, ON N8T 3G9
Name of Certifier
K. Paul Architect
Address of Certifier
2660 Sherwood Heights Drive, Suite #200, Oakville, ON L6J 7Y8

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

7654 Tecumseh Road East, Windsor, Ontario