Form ID

Publication date

Location of premises

Certificate

Interior Remodel & Fixturing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Great Atlantic & Pacific Co.
Address of Owner
25 Vickers Rd., Bldg. A, Toronto, ON
Name of Contractor
Carpcon Construction
Address of Contractor
14 Northrup Cres., Unit 1, St. Catharines, ON L2M 7N7
Name of Certifier
Mario Germain, Director Construction & Store Design
Address of Certifier
25 Vickers Road, Bldg A, Toronto, ON M9B 1C1

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

25 Vickers Rd., Bldg. A, Toronto, ON M9B 1B9