Form ID

Publication date

Location of premises

Certificate

Construction of subdivision servicing.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Nina Mohan.
Address of Owner
367 Shama Court, Kingston, ON K7M 8K5.
Name of Contractor
Holsgrove Trucking & Excavating Ltd.
Address of Contractor
3429 Princess Street, Kingston, ON K7P 3A5.
Name of Certifier
Josselyn Engineering Inc.
Address of Certifier
633 Norris Court, #3, Kingston, ON K7P 2R9.

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

Corporation of the City of Kingston, 1425 Midland Avenue, Kingston, ON K7L 5L8.