Form ID

Publication date

Location of premises

Certificate

Exterior Stairwell Wall Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Scotch Elms Investments Limited
Address of Owner
c/o Brown Group of Companies Inc. 3910 Chesswood Drive, North York, ON M3J 2W6
Name of Contractor
Brook Restoration Ltd.
Address of Contractor
11 Kelfield Street, Toronto, ON M9W 5A1
Name of Certifier
Brown & Beattie Ltd.
Address of Certifier
556 Edward Avenue, Unit 71, Richmond Hill, ON L4C 9Y5

Identification of Premises

Plan M946 BLK B, Roll # 1919-04-1-155-02400 0000

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

Owner's Address for Service