Form ID

Publication date

Location of premises

Certificate

New Built of Wendy's Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Black Star Management ULC
Address of Owner
13560 Davisburg Rd. Davisburg, MI., 48350 USA
Name of Contractor
Crawford General Contracting Inc.
Address of Contractor
1567 Villa Maria North, Windsor, ON
Name of Certifier
Black Star Management ULC.
Address of Certifier
13560 Davisburg Rd. Davisburg, MI., 48350 USA

Identification of Premises

55 Tecumseh Road West, Windsor, Ontario, N8X 4Y4

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

13560 Davisburg Rd. Davisburg, MI., 48350 USA