Form ID

Publication date

Location of premises

Certificate

White Shield Plaza, Asphalt Pavement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
High Glen Properties.
Address of Owner
Suite 500, 370 King Street, West, Toronto, Ont. M5V 1J9.
Name of Contractor
D. Crupi & Sons Limited.
Address of Contractor
PO Box 272, Agincourt, Ont. M1S 3B6.
Name of Certifier
Jacob Hershkovich.
Address of Certifier
Suite 500, 370 King St. W., Toronto, Ont. M5V 1J9.

Identification of Premises

White Shield Plaza at 2300 Lawrence Ave. E., Toronto, Ont.

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

High Glen Properties, c/o Graywood Developments Ltd., Suite 500, 370 King St. W., Toronto, Ont. M5V 1J9.