Form ID

Publication date

Location of premises

Certificate

Contract 296800/803/806/809 - 2003 Water Supply Upgrades - the construction of water supply facilities and upgrades in the communities of Beachville, Dereham Ctr., Hickson and Princeton

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford
Address of Owner
415 Hunter Street (PO Box 397) Woodstock, ON N4S 4G5 (N4S 7Y
Name of Contractor
969774 Ontario Ltd. (Elgin Construction)
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
Douglas Ellis, P.Eng.
Address of Certifier
as owner

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

As above