Form ID

Publication date

Location of premises

Certificate

New Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Williams Coffee Pub Inc.
Address of Owner
195 King St. W. #301, Kitchener, ON
Name of Contractor
Stahle Construction Inc.
Address of Contractor
77-C Edwin St., Kitchener, ON N2H 4N7
Name of Certifier
Gary Falby
Address of Certifier
Williams Coffee Pub 195 King St. W. #301, Kitchener, ON

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

Brantford