Form ID

Publication date

Location of premises

Certificate

Alteration Fixture/Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaws Inc.
Address of Owner
1 Presidents Choice Circle, Brampton, ON L6Y 5S5
Name of Contractor
Re-Con Retail Construction Inc.
Address of Contractor
1472 Thornton Road North, Unit #4, Oshawa, ON L1H 7K4

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

7075 Markham Road, Markham, Ontario L3S 3J9 Shiva & Ramya's No Frills