Form ID

Publication date

Location of premises

Certificate

Project 67333 reconstruction a 400 metre section of Oxford County Road 33, approximately 5 kilometres north of Woodstock and 3 kilometres east of Embro.

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 Drive, Woodstock, Ont. N4S 7W8.
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.