Form ID

Publication date

Location of premises

Certificate

Project 20023-2002 reconstruction of Middleton Street, Allen Street and McCarty Street in the former Village of Thamesford, in the Township of Zorra

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
Ingerwood Construction Limited.
Address of Contractor
71 Montclair, Woodstock, ON N4S 7W5
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