Form ID

Publication date

Location of premises

Certificate

Minor interior alterations, drywall partitions

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bentall Real Estate Services
Address of Owner
150 King Street West, Suite 2509, Toronto, ON
Name of Contractor
BMK Benchmark
Address of Contractor
9 Samuel Crescent, Georgetown, ON L7G 5J2
Name of Certifier
Victoria Horobin, KBH Interior Design Inc.
Address of Certifier
225 Richmond Street West, Suite 201, Toronto, ON

Identification of Premises

Bentall Real Estate Services, 150 King Street West, Suite 2509, Toronto, ON M5H 2L9 Attention: John Arruda

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

Bentall Real Estate Services, 150 King Street West, Suite 2509, Toronto, ON M5H 2L9 Attention