Form ID

Publication date

Location of premises

Certificate

Construction of Phase l Sewage Collection and Treatment System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford
Address of Owner
P.O. Box 397, 21 Market Square, Woodstock, ON N4S 7Y3
Name of Contractor
Stone Town Construction Ltd.
Address of Contractor
25 Water Street North, P.O. Box 190, St. Marys, Ont. N4X 1B1
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
15 Townline, Orangeville, ON L9W 3R4

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

The County of Oxford, P.O. Box 397, 21 Market Square, Woodstock, ON N4S 7Y3