Form ID

Publication date

Location of premises

Certificate

Tenant Interior Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brewer’s Retail Inc.
Address of Owner
5900 Explorer Drive, Mississauga, ON L4W 5L2
Name of Contractor
Walter’s General Contracting
Address of Contractor
PO Box 1442, Everett, ON L0M 1J0
Name of Certifier
Walter Stapiak
Address of Certifier
Same as above

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

Glar Developments, 24 Amanda Street, Coniston, P0M 1M0