Form ID

Publication date

Location of premises

Certificate

Foundation Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Brown Group of Companies Inc. Acting as Agents for H. Baur Investments Ltd.
Address of Owner
c/o The Brown Group of Companies 3910 Chesswood Drive, North York, ON M3J 2W6
Name of Contractor
K.I.B. Building Restoration Inc.
Address of Contractor
5320 Bradco Blvd., Mississauga, ON L4W 1G7
Name of Certifier
Brown & Beattie Ltd.
Address of Certifier
588 Edward Avenue, Unit 49, Richmond Hill, ON L4C 9Y6

Identification of Premises

Roll number: 190410120002150 and Plan 84E Pt Lot 39 40 Pt Lot 41 RP 63R1696 Part 1 Part 2 Part 3 and Part 4

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

Owner's Address for Service