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, Ont. K7M 3Y4.
Name of Contractor
Holsgrove Trucking and Excavating Limited
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, Ont. K7P 2R9.

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

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