Form ID

Publication date

Location of premises

Certificate

Construction of Residential Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dacon Construction Ltd.
Address of Owner
685 Gardiners Road, Kingston, ON N7M 3Y4
Name of Contractor
Holsgrove Trucking & Excavating Ltd.
Address of Contractor
3429 Princess St, Kingston, ON K7P 3A5
Name of Certifier
J. Murray Josselyn P.Eng., Josselyn Engineering Inc.
Address of Certifier
633 Norris Court, Suite #3, Kingston, ON K7P 2R9

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

Corporation of the City of Kingston, 216 Ontario Street, Kingston, Ontario