Form ID

Publication date

Location of premises

Certificate

Project 27407-2002 for construction of upgrades to the Sewage Treatment Plant in the Village of Drumbo

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford.
Address of Owner
415 Hunter Street (P.O. Box 397), Woodstock, Ont. N4S 4G5. (
Name of Contractor
H2 Ontario Treatment & Distribution Inc.
Address of Contractor
4009 Perth Road, PO Box 69, Shakespeare, ON N0B 2P0
Name of Certifier
Toney Decoo.
Address of Certifier
Same as Owner.

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

As above.