Form ID

Publication date

Location of premises

Certificate

Minor interior renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Kilbarry Holding Coporation
Address of Owner
120 Overbrook Place, Suite 3111, Downsview, Ontario
Name of Contractor
Mimico Group Inc.
Address of Contractor
3151 Wolfedale Rd., Unit 2, Mississauga, Ontario
Name of Certifier
Amy Chan
Address of Certifier
5900 Explorer Drive, Mississauga, ON L4W 5L2

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

5900 Explorer Drive, Mississauga, Ontario, L4W 5L2