Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corp. of the City of Kingston
Address of Owner
216 Ontario St., Kingston, ON K7L 2Z3
Name of Contractor
Len Corcoran Excavating Ltd.
Address of Contractor
2217 Sydenham Rd, Elginburg, ON K0H 1M0
Name of Certifier
1425445 Ontario Limited o/a Utilities Kingston
Address of Certifier
85 Lappans Lane, P.O. Box 790, Kingston, ON K7L 4X7

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

City Clerk Corporation of the City of Kingston 216 Ontario St., Kingston, Ontario. K7L 2Z3