Form ID

Publication date

Location of premises

Certificate

Project 67543 construction of a 300 m long section of Oxford Road 6, west of Woodstock and south of Oxford County Road 9.

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
Oxford Sand & Gravel Limited.
Address of Contractor
R.R. #1, Woodstock, ON N4S 7Y5.
Name of Certifier
Tony Decoo Construction Manager.
Address of Certifier
As owner.

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

As above.