Form ID

Publication date

Location of premises

Certificate

Project 67600-1998E (67500) - cold recycle of Oxford County Road 59 from Holbrook south to the limits of Norwich, and from the south limits of Norwich to the Oxford County Boundary.

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 7Y3.
Name of Contractor
Lavis Contracting Co. Ltd.
Address of Contractor
R.R. #2, (P.O. Box 819) Clinton, Ont. N0M 1L0.
Name of Certifier
Tony Decoo, C.E.T.
Address of Certifier
P.O. Box 397, Woodstock, ON N4S 7Y3.

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

As Above.