Form ID

Publication date

Location of premises

Certificate

Construction of Residential Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
ABNA Investments Ltd.
Address of Owner
588 Scotland Road, R.R. #1, Odessa, ON K0H 2H0
Name of Contractor
Doornekamp Construction Ltd.
Address of Contractor
588 Scotland Road, R.R. #1, Odessa, ON K0H 2H0
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

The Corporation of Loyalist Township, P.O. Box 70, 263 Main St., Odessa, Ontario K0H 2H0