Form ID

Publication date

Location of premises

Certificate

Branch Alterations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Canadian Imperial Bank of Commerce.
Address of Owner
133 Main St. W., North Bay, ON P1B 2T6.
Name of Contractor
D.J. Venasse Construction Limited
Address of Contractor
1630 Cholette Street, North Bay, ON P1B 8K4.
Name of Certifier
Akos Frick Architect Inc.
Address of Certifier
2000 Regent Street, Unit 503, Sudbury, ON P3E 5T5.

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

Owner ad above address.