Form ID

Publication date

Location of premises

Certificate

Sewer and Watermain and Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kingston & Utilities Kingston
Address of Owner
211 Counter St., Kingston, ON K7K 6C7
Name of Contractor
Don Hart Construction Limited
Address of Contractor
R.R. #1,
Name of Certifier
City of Kingston - Utilities Kingston
Address of Certifier
211 Counter St., Kingston, ON K7K 6C7

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

City of Kingston - Utilities Kingston, 211 Counter St., Kingston, ON K7K 6C7