Form ID

Publication date

Location of premises

Certificate

New Shell Canada Gas Bar, Convenience Store and Carwash

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shell Canada Ltd. - Shell Canada Products
Address of Owner
600-90 Sheppard Ave. E., Toronto, ON M2N 6Y2
Name of Contractor
Claybar Contracting Inc.
Address of Contractor
424 MacNab St., Dundas, ON L9H 2L3

Identification of Premises

Lot 16, Concession 3, City of London, County of Middlesex (formerly Township of Westminster)