Form ID

Publication date

Location of premises

Certificate

Office Build Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London Life Insurance Company
Address of Owner
60 Osborne Street North, Winnipeg, MB R3C 1V3
Name of Contractor
Royalty General Construction Ltd.
Address of Contractor
386 Bering Avenue, Etobicoke, ON M8Z 3A9

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

London Life Insurance Company, Corporate Properties, 60 Osborne Street North, Winnipeg, MB R3C 1V3