Form ID

Publication date

Location of premises

Certificate

ROOF REPLACEMENT - TD #8184 @ 4888 50th Street, Camrose, AB

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BGIS (Brookfield Global Integrated Solutions) as agent for and on behalf of TDB
Address of Owner
4175 - 14th Avenue, Markham, ON, L3R 0J2
Name of Contractor
Specified Roofing Inc.
Address of Contractor
315 Attwell Dr., Toronto, ON M9W 5C1
Name of Certifier
Randal Harris - BGIS Professional Services Dept.
Address of Certifier
4175 - 14th Avenue, Markham, ON, L3R 0J2

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

BGIS for and on behalf of TDB 4175 - 14th Avenue, Markham, ON, L3R 0J2
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