Form ID

Publication date

Location of premises

Certificate

Constuction of residential services

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1557200 Ontario Ltd.
Address of Owner
829 Norwest Road, Kingston, ON
Name of Contractor
Len Corcoran Excavating Ltd.
Address of Contractor
2212 Sydenham Road, Elginburg, ON K0H 1M0
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, ON