Form ID

Publication date

Location of premises

Certificate

Tim Hortons Restaurant, Quinte Mall, Belleville, Ontario.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The TDL Group Ltd.
Address of Owner
874 Sinclair Road, Oakville, Ont. L6K 2Y1.
Name of Contractor
K. Knudsen Construction Limited.
Address of Contractor
640 Dundas Street East, Belleville, ON K8N 1G7.
Name of Certifier
Toni Coccurello.
Address of Certifier
874 Sinclair Road, Oakville, Ont. L6K 2Y1.

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

874 Sinclair Road, Oakville, Ont. L6K 2Y1.