Form ID

Publication date

Location of premises

Certificate

Project 60781-2001 for watermain construction and restoration on Halladay Street and Huron Street in the former Village of Embro in the Township of Zorra

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
Moorefield Excavating Ltd.
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
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