Form ID

Publication date

Location of premises

Certificate

Office and Warehouse

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
First Gulf Industrial Development Inc., Brantford
Address of Owner
6860 Century Ave., Suite 1000, East Tower, Mississauga, ON L
Name of Contractor
First Gulf Design Build Inc.
Address of Contractor
6860 Century Ave., East Tower, Suite 1000 Mississauga ON L5N

Identification of Premises

Lot 1, Part of Lot 36 and C, Concession 3, City of Brantford, Ontario, County of Brant

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

6860 Century Ave., Suite 1000, East Tower, Mississauga, ON L5N 2W5