Form ID

Publication date

Location of premises

Certificate

Installation/Removal of Shoring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bay Cumberland Developments Inc.
Address of Owner
131 Baldwin Street, Toronto, ON M5T 1L7
Name of Contractor
Deep Foundations Inc.
Address of Contractor
29 Ruggles Ave., Thornhill, ON L3T 3S4

Identification of Premises

Registered Plan 69, Lots 4-5 and Part of Lot 6

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

131 Baldwin Street, Toronto, ON M5T 1L7