Form ID

Publication date

Location of premises

Certificate

New Wendy’s E-2000 Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wen-Bay
Address of Owner
875 Red River Rd., Thunder Bay, ON
Name of Contractor
Stahle Construction Inc.
Address of Contractor
77-C Edwin Street, Kitchener, ON N2H 4N7
Name of Certifier
Jim Edwards - Owner
Address of Certifier
as owner

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

Thunder Bay