Form ID

Publication date

Location of premises

Certificate

Renovation Building / Fixture / Shell

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaws Inc.
Address of Owner
1 President's Choice Circle
Name of Contractor
Re-Con Retail Construction Inc.
Address of Contractor
1472 Thornton Rd North, Unit #4, Oshawa, ON L1H 7K4

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

620 Eglinton Ave. Mississauga, ON L5R 3V2 - Daniel's No Frills