Form ID

Publication date

Location of premises

Certificate

Interior and Exterior Renovation Including Addition at Kitchen

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Geoffrey Belsher
Address of Owner
55 Douglas Drive, Toronto
Name of Contractor
Den Bosch & Finchley
Address of Contractor
146 Davenport Road, Toronto

Identification of Premises

Part of Lot 93 & 94 Reg. Plan M-496 City of Toronto

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

John Tackaberry @ Den Bosch & Finchley. 416-922-4249 ext. 303