Form ID

Publication date

Location of premises

Certificate

Creekside Phase 1 - Tower A, Link, Site Work & Generator Building a.k.a. RIM Mississauga

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2113008 Ontario Inc.
Address of Owner
176 Columbia Street West, Waterloo, ON N2L 3L3
Name of Contractor
Melloul Blamey Construction Inc.
Address of Contractor
700 Rupert Street, Unit A, Waterloo, ON N2V 2B5
Name of Certifier
Robertson Simmons Architects Inc.
Address of Certifier
130 Weber Street West, Suite 100, Kitchener, ON N2H 4A2

Identification of Premises

4701 Tahoe Boulevard, Mississauga, Ontario

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

as per part A