Form ID

Publication date

Location of premises

Certificate

Loblaws at the Pumps Gas Bar New Build.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Properties Limited.
Address of Owner
3563 Lakeshore Blvd. West, Toronto, Ont. M8W 1P4.
Name of Contractor
Laurin & Company
Address of Contractor
11-52 Antares Dr. Nepean, ON K2E 7Z1
Name of Certifier
Pauline Biladeau.
Address of Certifier
3563 Lakeshore Blvd. W., Toronto, Ont. M8W 1P4.

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

3563 Lakeshore Blvd. W., Toronto, Ont. M8W 1P4.