Form ID

Publication date

Location of premises

Certificate

Retail Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Boulevard East, Toronto, ON M5E 1A4
Name of Contractor
Rutherford Contracting Ltd.
Address of Contractor
27 Cardico Drive, Gormley, ON L0H 1G0
Name of Certifier
Figure 3 Network
Address of Certifier
207 Adelaide Street East, Suite 300, Toronto, ON M5A 1M8

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

Per address of owner above