Form ID

Publication date

Location of premises

Certificate

Simcoe District Co-op Alliston Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Simcoe District Co-op
Address of Owner
259 Innisfil Street, Barrie, ON L4N 3G2
Name of Contractor
Thom Win Construction Limited.
Address of Contractor
2865 Highway 11 North, Oro, ON L0L 2X0
Name of Certifier
Meades Engineering Limited
Address of Certifier
219 Saunders Road, Suite 200, Barrie, ON L4N 9A3

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

Owner, Address as above.