Form ID

Publication date

Location of premises

Certificate

Interior Fit-up of LCBO Store #200 at 348 Clarke Road in London, ON

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lake Shore Blvd. East, 2nd Floor, Toronto, ON M5E 1A4
Name of Contractor
Robert Bice Construction Inc.
Address of Contractor
318 Neptune Crescent, London, ON N6M 1A1
Name of Certifier
Radek Bronny M. Eng., Arch. OAA
Address of Certifier
Forum Architect Co., 90 Applefield Drive, Toronto, ON M1P 3Y

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

Liquor Control Board of Ontario, 55 Lake Shore Blvd. East, 2nd Floor, Toronto, ON M5E 1A4