Form ID

Publication date

Location of premises

Certificate

Woodingford Lodge Re-Roofing - Ingersoll & Tillsonburg Contract 39000/393000-2017

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
Northeast Roofing Inc.
Address of Contractor
32 Goodmark Place Unit #17, Etobicoke, ON M9W 6J4
Name of Certifier
Melissa Abercrombie, P. Eng.
Address of Certifier
Same as Owner

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

as above