Form ID

Publication date

Location of premises

Certificate

For Wal-Mart External Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
First Professional
Address of Owner
259 Yorkland Road, Suite 300, Toronto, ON M2J 5B2
Name of Contractor
Dagmar Construction
Address of Contractor
PO Box 510, 7350 Markham Road, Markham, ON L3P 3R1
Name of Certifier
Pitura Husson Limited
Address of Certifier
284 Waverly Road, Toronto, ON M4L 3T6

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

First Professional, 259 Yorkland Road, Suite 300, Toronto, ON M2J 5B2