Form ID

Publication date

Location of premises

Certificate

Project 01148 for the construction of watermain and appurtenances on Frederick Street in the Township of East Zorra Tavistock

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford.
Address of Owner
415 Hunter Street (P.O. Box 397), Woodstock, Ont. N4S 4G5 (N
Name of Contractor
Sierra Construction Limited
Address of Contractor
Dundas Street, PO Box 20053, Woodstock, ON N4S 8X8
Name of Certifier
Toney Decoo.
Address of Certifier
Same as Owner.

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

As above.