Form ID

Publication date

Location of premises

Certificate

Contract 293505-2003 & 295502-2003 - the construction of sanitary and storm sewers and watermain and appurtenances on Harris Street (Oxford Road #119) in the Town of Ingersoll

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford
Address of Owner
415 Hunter St., (P.O. Box 397) Woodstock, ON N4S 4G5 (N4S 7Y
Name of Contractor
Terra Infrastructure Inc.
Address of Contractor
4-48 Front Street East, Strathroy, ON N7G 1Y6
Name of Certifier
Douglas Ellis, P. Eng.
Address of Certifier
Same as owner

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

As Above