Form ID

Publication date

Location of premises

Certificate

Project 67700-2000-1, hot mix resurfacing portions of Oxford County Roads 6, 33, 59 and 119

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
Walmsley Bros. Limited.
Address of Contractor
1796 Commissioners Rd. East, London, ON N6M 1E7
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.