Form ID

Publication date

Location of premises

Certificate

Potters Creek Subdivision - Phase 7

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Potters Creek Ltd. Partnership
Address of Owner
P.O. Box 1226, Trenton, ON K8V 5R9
Name of Contractor
Gordon Barr Limited
Address of Contractor
156 Duff Street, Kingston, ON K7L 2L5
Name of Certifier
Adam Wilson, Ainley Graham & Associates Limited
Address of Certifier
45 South Front St. Belleville, ON K8N 2Y5

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

Potters Creek Ltd. Partnership, P.O. Box 1226, Trenton, Ontario K8V 5R9