Form ID

Publication date

Location of premises

Certificate

Construction of Residential Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dacon Corporation Ltd.
Address of Owner
685 Gardiners Road, Kingston, ON K7M 3Y4
Name of Contractor
Holsgrove Trucking and Excavating Ltd.
Address of Contractor
3429 Princess Street, Kingston, ON K7P 3A5
Name of Certifier
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, ON