Form ID

Publication date

Location of premises

Certificate

Site Services, grading, paving etc.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
PenRetail 111 LP.
Address of Owner
c/o Keeler Construction INC 264-1885 Clements Road, Pickerin
Name of Contractor
Dagmar Construction
Address of Contractor
7350 Markham Road, Markham, ON L3P 3R1
Name of Certifier
MMM Group Limited
Address of Certifier
100 Commerce Valley Drive West, Thornhill, ON L3T 0A1

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

330 Front Street West, Toronto, ON M5V 3B7