Form ID

Publication date

Location of premises

Certificate

Wholesale Club Gas Bar Installation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Westfair Properties.
Address of Owner
3189 Grandview Hwy., Vancouver, B.C.
Name of Contractor
Parkwest Projects Ltd.
Address of Contractor
1077 Oxford St. W., Winnipeg, MB
Name of Certifier
As Owner.
Address of Certifier
16-Tenth Ave. South, Kenora, Ont. P9N 2J4.

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

Westfair Properties Ltd., 3189 Grandview Hwy., Vancouver, B.C.