Form ID

Publication date

Location of premises

Certificate

Perkins Restaurant and Bakery

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hampton Restaurants Niagara Inc.
Address of Owner
4800 Bender Street, Niagara Falls, ON.
Name of Contractor
Canadian Niagara Hotels.
Address of Contractor
5685 Falls Avenue, Niagara Falls, ON L2E 6W7.
Name of Certifier
Canadian Niagara Hotels.
Address of Certifier
5685 Falls Avenue, Niagara Falls, ON L2E 6W7.

Identification of Premises

Part of Block B, Registered Plan No. 294, City of Niagara Falls.

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

Welland Land Registry Office, 200 Division Street, Welland, Ontario.