Form ID

Publication date

Location of premises

Certificate

To provide all labour, parts and materials, tools, equipment and supervision required to complete the construction of interior fit-up to existing unit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dialysis Management Clinics Inc.
Address of Owner
7500 Woodbine Ave., Suite 205, Markham, ON L3R 1A8
Name of Contractor
Beavermead Construction (1991) Limited
Address of Contractor
P.O. Box 1927, Peterborough, ON K9J 7X7
Name of Certifier
Erik Wilke, Architect
Address of Certifier
311 George St. North, Peterborough, ON K9J 3H3

Identification of Premises

Peterborough Dialysis Clinic, Unit 7, Park Lane Plaza, High Street, Peterborough, ON

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

Peterborough Land Registry Office, 300 Water Street, Peterborough, ON