Form ID

Publication date

Location of premises

Certificate

Slab Replacement - Bank of Montreal.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BOM Financial Group.
Address of Owner
First Canadian Place, 20th Flr., 100 King Street, Toronto, O
Name of Contractor
Chamney Contracting Ltd.
Address of Contractor
125 Clarke Road, Unit 8, London, ON N5W 5W1
Name of Certifier
Allan Avis Architect.
Address of Certifier
60 West St., Goderich, Ontario.

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

BOM Financial Group.