Form ID

Publication date

Location of premises

Certificate

Site Works (Asphalt paving, curbs & site services)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Churchill Plaza Holdings
Address of Owner
6860 Century Ave. East Tower, Suite 1000 Mississauga, ON L5N
Name of Contractor
Rainone Construction Limited
Address of Contractor
487 Gran Street, Sault Ste. Marie, ON P6A 5N2

Identification of Premises

Lot No. 10-11, 1-42, 46-53 Plan No. H-418

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

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