Form ID

Publication date

Location of premises

Certificate

Kitchen / Vanity Millwork

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
Concord Kitchens Ltd.
Address of Contractor
114 Healey Road, Bolton, ON L7E 5R2
Name of Certifier
Peter Kofman, P. Eng. - Projectcore Inc.
Address of Certifier
284 King Street West, 5th Fl., 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 Kin

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

Miller Thomson - Mr. William (Bill) Pigott