Form ID

Publication date

Location of premises

Certificate

Interior Renovation to Payless ShoeSource Store #5908.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Payless ShoeSource Canada Inc.
Address of Owner
191 The West Mall, Suite 1100, Etobicoke, ON M9C 5K8.
Name of Contractor
Berkim Construction Inc.
Address of Contractor
120 Willowdale Avenue, Willowdale, Ont. M2N 4Y2.
Name of Certifier
The Stanchion Group.
Address of Certifier
12 Mandalane Drive, Schomberg, ON L0G 1T0.

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

Payless ShoeSource Canada Inc., 191 The West Mall, Suite 1100, Etobicoke, ON M9C 5K8.