Form ID

Publication date

Location of premises

Certificate

erection of dweling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Harold Bryce Ball and Eva Mabel Ball.
Address of Owner
R.R. #2, Godfrey, ON K0H 1T0.
Name of Contractor
Owners.
Address of Contractor
as above.

Identification of Premises

Part of Lot 12, concession 3, Township of Central Frontenac (formerly Township of Hinchinbrooke, County of Frontenac, as described in Instrument No. 688806 PIN 36156-0176 (Registry).

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

Land Registry Office, Frontenac No. 13, Court House, Kingston, ON K7L 2N4.