Form ID

Publication date

Location of premises

Certificate

Warehouse/Office Facility

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Valbruna Canada Ltd.
Address of Owner
8724 Holgate Cres., Milton, ON L9T 5Z1
Name of Contractor
EllisDon Design Build Inc.
Address of Contractor
89 Queensway Avenue West Suite 800, Mississauga, ON L5B 2V2
Name of Certifier
Frank Bellini
Address of Certifier
202A Oakdale Rd., Suite #2, North York, ON

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

89 Queensway Avenue West Suite 800, Mississauga, ON L5B 2V2