Form ID

Publication date

Location of premises

Certificate

Interior Renovation to Payless ShoeSource Store #6923

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Payless ShoeSource Canada Inc.
Address of Owner
191 The West Mall, Suite 1100, Etobicoke, ON M9C 5K8.
Name of Contractor
Les Entreprises DOMRA
Address of Contractor
8692, 9th Avenue, Suite 200, Montreal, Quebec H1Z 2Z8
Name of Certifier
The Stanchion Group.
Address of Certifier
12 Mandalane Drive, Schomberg, ON L0G 1T0.

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

Payless ShoeSource Canada Inc., 191 The West Mall, Suite 1100, Etobicoke, ON M9C 5K8.