Form ID

Publication date

Location of premises

Certificate

Project 67700-2000-2 the hot mix resurfacing of Oxford County Road 59 (Norwich/ Cedar/ Wilson Streets, Woodstock), Oxford County Road 4 from Parkinson Road to within 100 metres of CN Rail overpass and Oxford County Road 8, Plattsville

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
Cayuga Materials & Construction Co. Limited.
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0
Name of Certifier
Tony Decoo Construction Manager
Address of Certifier
County of Oxford.

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

As above