Form ID

Publication date

Location of premises

Certificate

Gas Bar Renovation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Westfair Properties.
Address of Owner
3189 Grandview Highway, Vancouver, BC
Name of Contractor
Phoenix Contracting of Thunder Bay Inc.
Address of Contractor
Box 10460, Thunder Bay, Ont. P7B 6T9.
Name of Certifier
Keith Middleton.
Address of Certifier
1390 Church St., Winnipeg, Manitoba.

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

Westfair Properties, 3189 Grandview Highway, Vancouver, BC V5M 2E9.