Form ID

Publication date

Location of premises

Certificate

LCBO Temporary Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Blvd., 2nd Floor, Toronto, ON
Name of Contractor
Penalta Group Ltd.
Address of Contractor
521 North Service Rd. East, Oakville, ON L6H 1A5
Name of Certifier
Joe Liebregts, LCBO Property Services, London
Address of Certifier
1100 Dearness Dr., London, ON N6E 1N9

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

M. Bowman - Manager, Property Services - 55 Lakeshore Blvd. 2nd Floor, Toronto, ON M5E 1A4
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