Form ID

Publication date

Location of premises

Certificate

Interior Fit-Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Miller Thomson LLP
Address of Owner
22 Frederick Street, Ste. 700, Kitchener, ON N2G 4A2
Name of Contractor
BCC Interiors Inc.
Address of Contractor
1301 Fewster Drive, Mississauga, ON L4W 1A2
Name of Certifier
Hopping Kovach Grinnell Design Consultants Ltd.
Address of Certifier
81 West Cordova St., Vancouver, BC V68 1C8

Identification of Premises

110 Stone Road West

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

110 Stone Road West
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