Form ID

Publication date

Location of premises

Certificate

Gas Station Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2624827 Ontario Inc.
Address of Owner
105 Parkhill Main Street, Parkhill, ON N0M 2K0
Name of Contractor
Phoenix Petroleum Ltd.
Address of Contractor
331 Neptune Cres., London, ON N6M 1A9

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

Jeffery Frymer, H.B.A, LL.B 5255 Yonge Street, Suite 1300 Toronto, ON M2M 6P4