Form ID

Publication date

Location of premises

Certificate

Project 67547 Oxford County Road 2 from the west limits of Woodstock, westerly one kilometre.

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, C.E.T.
Address of Certifier
County of Oxford.

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

As above.