Form ID

Publication date

Location of premises

Certificate

Project 67700-1998E, Hot Mix Resurfacing Oxford County Road 59.

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
Warren Bitulithic Limited.
Address of Contractor
P.O. Box 96, Kitchener, ON N2G 3W9.
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.