Form ID

Publication date

Location of premises

Certificate

the surface portion only of Contract 340700-2003-3 for the servicing of Finkle Street, Juliana Drive and three easements to provide underground servicing to Woodingford Lodge and the new Woodstock General Hospital

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
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
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