Form ID

Publication date

Location of premises

Certificate

Contract No. PW-E-01-030 Hot Mix Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Norfolk County
Address of Owner
183 Main Street, Delhi, ON N4B 2M3
Name of Contractor
Oxford Sand & Gravel Limited
Address of Contractor
R.R. #4, PO Box 456, Woodstock, ON N4S 7Y5
Name of Certifier
Marvin Fehrman CET
Address of Certifier
183 Main Street, Delhi, ON N4B 2M3

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

The Corporation of the Norfolk County, 50 Colborne Street South, Simcoe, ON N3Y 4N5