Form ID

Publication date

Location of premises

Certificate

Retail Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Beer Store
Address of Owner
5900 Explorer Dr., Mississauga, ON L4W 5L2
Name of Contractor
Gen-Pro Construction
Address of Contractor
4179 Harvester Road, Unit #1B, Burlington, ON L7L 5M4
Name of Certifier
Mark Campbell
Address of Certifier
5900 Explorer Dr., Mississauga, ON L4W 5L2

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

5900 Explorer Dr., Mississauga, ON L4W 5L2