Form ID

Publication date

Location of premises

Certificate

QSR (Quick Service Restaurant, Fried Chicken & Taters

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2651882 Ontario Inc. / Waqar Azam (Managing Director)
Address of Owner
5 Rossland Road E, Ajax, ON L1T 4V2, Unit C101
Name of Contractor
Nigeco Contracting Ltd.
Address of Contractor
56 Hillside Ave. Concord, ON L4K 1X1 (Contractor's Address)
Name of Certifier
Sean Bell - CFO Mary Brown's
Address of Certifier
130-100 Renfrew Drive, Markham, ON L3R 9R6

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

Waqar Azam, 95 Bettina Place, Whitby, ON, L1R 0G1