Form ID

Publication date

Location of premises

Certificate

Reconstruction of Oxford County Roads #2 & #4, Contract 297000-G-2007

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Oxford County
Address of Owner
21 Reeve Street, P.O. Box 1614, Woodstock, ON N4S 7Y3
Name of Contractor
Sierra Construction LTD.
Address of Contractor
1401 Dundas Street, P.O. Box 20053, Woodstock, ON N4S 8X8
Name of Certifier
McCormick Rankin Corporation
Address of Certifier
72 Victoria St. S., Suite 101, Kitchener, ON N2G 4Y9

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

as above