Form ID

Publication date

Location of premises

Certificate

Dr. Jurgen Vander Velden Tenant Fit-Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dr. Jurgen Vander Velden
Address of Owner
1625 Sherbrooke St., Peterborough, ON
Name of Contractor
Mark V. Wilson Builder/Contractor Co. Ltd.
Address of Contractor
245 Kent St. W, Lindsay, ON K9V 2Z3

Identification of Premises

Block 69, Plan 45M 125, Designated as Part 1 & 2, Plan 45R 12860 Pin # 28043-0236