Form ID

Publication date

Location of premises

Certificate

Sewers, watermains, road improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Utilities Kingston
Address of Owner
211 Counter St., Kingtson, ON K7L 4X7
Name of Contractor
Len Corcoran Excavating Limited
Address of Contractor
2212 Sydenham Road, Elginburg, Ont. K0H 1M0.
Name of Certifier
Utilities Kingston
Address of Certifier
211 Counter St., Kingtson, ON K7L 4X7

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

Utilities Kingston, 211 Counter St., Kingtson, ON K7L 4X7