Form ID

Publication date

Location of premises

Certificate

Gas Bar and Convenience store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2538459 Ontario Inc.
Address of Owner
85 Grice Circle Stouffville, ON L4A 0V6
Name of Contractor
Phoenix Petroleum Ltd.
Address of Contractor
400 Thompson Drive Fredericton NB E3A 9X2
Name of Certifier
Sibghat Ullah
Address of Certifier
42 Greenforest Grove Stouffville, ONL4A 1T3

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

85 Grice Circle Stouffville, ON L4A 0V6