Form ID

Publication date

Location of premises

Certificate

Petro Canada Outlet, Retail Area Renovations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1331253 Ontario Inc.
Address of Owner
2672 Highway No. 12, Brechin, ON L0K 1B0.
Name of Contractor
Thom Win Construction Limited.
Address of Contractor
713 Penetanguishene Road, Barrie, ON L4M 4Y8.
Name of Certifier
Meades Engineering Limited.
Address of Certifier
72 Mayfair Drive, Barrie, ON L4N 6Y9.

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

Owner, address as above.