Form ID

Publication date

Location of premises

Certificate

Mephisto Shoes New Retail Interior Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Anzela and Otto Schmit
Address of Owner
6380 Fallsview Blvd., Unit #244, Niagara Falls, ON
Name of Contractor
Epitech Construction Services Inc.
Address of Contractor
1160 Kerrisdale Blvd., Unit 9, Newmarket, ON L3Y 8Z9

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

Mephisto Shoes, 6550 Fallsview Blvd., Unit #244, Niagara Falls, ON