Form ID

Publication date

Location of premises

Certificate

Project 67562 (67507-2000) constructing a sewage pumping station east of the intersection of Allen and Washington Streets in the community of Thamesford, in the Township of Zorra

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
Garnet Services Inc.
Address of Contractor
1930 Blue Heron Drive, London, ON N6H 5M8.
Name of Certifier
Douglas Ellis P.Eng, Project Engineer, County of Oxford
Address of Certifier
As owner.

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

As above