Form ID

Publication date

Location of premises

Certificate

Foundation & Driveway 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
Name of Contractor
Roma Building Restoration Ltd.
Address of Contractor
20 Cadetta Road, Unit 7, Brampton, ON L6P 0X4
Name of Certifier
Brown & Beattie Ltd.
Address of Certifier
556 Edward Avenue, Unit 71, Richmond Hill, ON L4C 9Y5

Identification of Premises

44 & 48 Crescent Rd., Toronto

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

Owner's Address for Service