Form ID

Publication date

Location of premises

Certificate

Interior work.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Katz Pharmacy Services Inc.
Address of Owner
5965 Coopers Avenue, Mississauga, Ont. L4Z 1R9.
Name of Contractor
Rochon Building Corp.
Address of Contractor
37 Kodiak Crescent, Unit 8, Toronto, ON, M3J 3E5

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

Katz Pharmacy Services Inc., 5965 Coopers Avenue, Mississauga, Ont. L4Z 1R9.