Form ID

Publication date

Location of premises

Certificate

Project 67547-2001 being the surface rehabilitation of Oxford County Road 2 between Woodstock and Thamesford

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
Cayuga Materials & Construction Co. Limited
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0
Name of Certifier
Tony Decoo, Construction Manager
Address of Certifier
As owner

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

As above