Form ID

Publication date

Location of premises

Certificate

Office Build Out for London Life Insurance Company

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London Life Insurance Company
Address of Owner
100 Osborne Street North, Winnipeg, MB R3C 3A5
Name of Contractor
Dry-Ac Interiors Inc.
Address of Contractor
P.O. Box 57197, Hamilton ON L8P 4X1
Name of Certifier
London Life Insurance Company
Address of Certifier
100 Osborne St. North, Winnipeg, MB R3C 3A5

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

P.O. Box 57197, Hamilton ON L8P 4X1