Form ID

Publication date

Location of premises

Certificate

Project 67508 rehabilitating the bridge over the Thames River on Oxford County Road 2.

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
Trend Construction & Services Ltd.
Address of Contractor
1185 Michener Road, Sarnia, ON N7S 4W3.
Name of Certifier
Tony Decoo, Construction Manager, County of Oxford.
Address of Certifier
As Owner.

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

As Above.