Form ID

Publication date

Location of premises

Certificate

Construction of Residential Services.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Robert J. Sweezey.
Address of Owner
c/o Austin Sweezey, 36 Mohawk Cres., Nepean, Ont. K2H 7G6.
Name of Contractor
J. Harrison Excavating and Pipeline Ltd.
Address of Contractor
P.O. Box 12, Westbrook, ON K7P 2Y8.
Name of Certifier
J. 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

Corporation of the City of Kingston, 216 Ontario St., Kingston, ON