Form ID

Publication date

Location of premises

Certificate

Convenience Store & Gas Bar

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shell Canada Products
Address of Owner
90 Sheppard Ave. East, Toronto, ON M2N 6Y2
Name of Contractor
Claybar Contracting Inc.
Address of Contractor
424 MacNab St. Dundas, ON L9H 2L3

Identification of Premises

Lots 62, 63, 64, 65 & Part of Lane (Abutting the Westerley limits of Lots 64, 65 & 66) Registered Plan 1945