Form ID

Publication date

Location of premises

Certificate

Construction of 5,000 sq. ft. free-standing Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1534852 Ontario Inc.
Address of Owner
900 Bruham Ave., Pembroke, ON K8A 5A4
Name of Contractor
same as owner
Address of Contractor
as owner
Name of Certifier
Chamberlain Construction Services Limited.
Address of Certifier
5096 South Service Road, Suite 103, Burlington, ON L7L 5H4

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

McDonalds Restaurants of Canada McDonalds Place, Toronto, ON M3C 3L4