Form ID

Publication date

Location of premises

Certificate

Construct new 1 storey office building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
3573796 Canada Inc.
Address of Owner
136 Caribou Road, Toronto, ON M5N 2B3
Name of Contractor
Richard D. Steele Construction (1979) Ltd.
Address of Contractor
3516 Coon’s Road, Brockvill, Ont. K6V 5W2
Name of Certifier
Mr. Sam Biasucci
Address of Certifier
64 Industrial Park Crescent, Sault Ste. Marie, ON P6B 5P2

Identification of Premises

Part of Park Lot 13 in said Block 28 and part of Park Lot 13 according to Plan No. 9 designated as Part 1 on Plan 8R-10128, City of Brockville, County of Leeds

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

136 Caribou Rd., Toronto, ON M5N 2B3