Form ID

Publication date

Location of premises

Certificate

Contract 291023-2004 surface rehabilitation (cold recycle) of Oxford County Road 8 between Hofstetter Road to the east boundary of the limits of the County of Oxford

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
Arnill Construction Ltd. o/a Seeley and Arnill Construction Ltd.
Address of Contractor
255 South St. East, P.O. Box 20, Durham, ON N0G 1R0
Name of Certifier
Tony Decoo, C.E.T.
Address of Certifier
County of Oxford

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

As above