Form ID

Publication date

Location of premises

Certificate

Project 67510 rehabilitating the bridge over Otter Creek on Oxford County Road 59, Norwich.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford.
Address of Owner
415 Hunter Street (P.O. Box 397), Woodstock, ON N4S 4G5 (N4S
Name of Contractor
Strat-Con Construction.
Address of Contractor
R.R. #5, Stratford, ON N5A 6S6.
Name of Certifier
Tony Decoo, Construction Manager, County of Oxford.
Address of Certifier
As owner.

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

As above.