Form ID

Publication date

Location of premises

Certificate

Tenant Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shoppers Drug Mart
Address of Owner
243 Consumers Road, North York, ON M2J 4W8
Name of Contractor
Tambeau Construction Ltd.
Address of Contractor
170 Progress Court, North Bay, ON P1B 8H5
Name of Certifier
Nejmark Architect
Address of Certifier
#2-54 Adelaide St., Winnipeg, ON R3A 0V7

Identification of Premises

23 Brunetville Road, Kapuskasing, Ontario

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

Town of Kapuskasing, Building & Planning Dept. 88 Riverside Drive, P5N 1B3