Form ID

Publication date

Location of premises

Certificate

Contract 295515-2004 the construction of a sanitary trunk sewer in the Town of Ingersoll

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
J-AAR Excavating Limited
Address of Contractor
31 Exeter Road, London, ON N6L 1B6
Name of Certifier
Dougals Ellis, P.Eng.
Address of Certifier
County of Oxford

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

As above