Form ID

Publication date

Location of premises

Certificate

Hox Mix Resurfacing, Oxford Roads 8 and 44, Contract 291041/291044 HMA -2005

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Oxford County
Address of Owner
21 Market Square (P.O. Box 397), Woodstock, ON N4S 7Y3
Name of Contractor
Cox Construction Limited
Address of Contractor
687 Eramosa Road, P.O. Box 427, Guelph, ON N1H 6K5
Name of Certifier
Oxford County Pubic Works
Address of Certifier
Same as owner

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

as above