Form ID

Publication date

Location of premises

Certificate

Industrial building complete with one finished unit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1162117 Ontario Limited
Address of Owner
2455 Lucknow Drive, Mississauga, ON L5S 1H9
Name of Contractor
First Gulf Group Inc.
Address of Contractor
6860 Century Ave., Suite 1000, Mississauga, ON L5N 2W5.
Name of Certifier
Tim Fanstone Architect
Address of Certifier
2021 Lakeshore Rd., Suite 206, Burlington, ON L7R 1A2

Identification of Premises

200 First Gulf Blvd., Brampton, ON Block 8 Plan/Con M947

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

6860 Century Ave., Suite 1000, Mississauga, ON L5N 2W5.