Form ID

Publication date

Location of premises

Certificate

One storey addition to the existing warehouse space.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Graphico Edgelit Panels.
Address of Owner
1090 Bellamy Road, Scarborough, ON.
Name of Contractor
Govan Brown Constructors Inc.
Address of Contractor
Suite 1208, 555 Richmond Street West, Toronto, ON M5V 3B1.
Name of Certifier
William R. Dewson Architect.
Address of Certifier
135 Alcorn Ave., Toronto, ON M4V 1E5.

Identification of Premises

Part Lot 21, Concession 2, City of Scarborough.

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

1090 Bellamy Road, Scarborough, ON M1H 1H2.