Form ID

Publication date

Location of premises

Certificate

Tim Horton’s Wendy’s, Payless Shoes site preparation, underground servicing, access roadways and parking facilities.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1221245 Ontario Limited.
Address of Owner
259 Yorkland Blvd., Suite 300, North York, ON M2J 5B2.
Name of Contractor
Dagmar Construction Inc.
Address of Contractor
Box 510, 7350 Markham Road, Markham, Ont. L3P 3R1.
Name of Certifier
Cosburn Patterson Mather Limited.
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham, ON L3R 4B9.

Identification of Premises

Part 1, Lot 6, Concession 2, Town of Ajax, Municipality of Durham, Plan 40R-17497

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

259 Yorkland Blvd., Suite 300, North York, ON M2J 5B2.