Form ID

Publication date

Location of premises

Certificate

Supply/Install Washers/Dryers

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1 King West
Address of Owner
1 King Street West, Toronto, ON M5H 1A1
Name of Contractor
MABE Canada Inc. (Camco)
Address of Contractor
5420 North Service Road, Suite 300, Burlington, ON L4R 5B6
Name of Certifier
Peter Kofman, P. Eng. - Projectcore Inc.
Address of Certifier
284 King Street West, 5th Floor, Toronto, ON M5V 1J2

Identification of Premises

1. Part of Town Lot 2 on the south side of King St. now King Street West, Town of York Plan, designated as Part 1, Plan 63R-4080, City of Toronto (PIN 21407-0006) (The "Firstly Lands") 2. Parcel 2-17 Section Y-1 being Part of Town Lot 2, South Side of King Street, Town of York Plan, designated as Part 1 on Reference Plan 66R-15976 PIN 21407-0004(LT) (the "Secondly Lands") (the "1 King West Property")

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

Miller Thomson - Mr. William (Bill) Pigott