Form ID

Publication date

Location of premises

Certificate

Construction of new fire hall with staff facilities

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of South West Oxford,
Address of Owner
312915 Dereham Line, Mount Elgin, ON N0J 1N0
Name of Contractor
PK Construction Inc.
Address of Contractor
37 Tillson St., Unit A, Tillsonburg, ON N4G 0B7
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
2 Talbot Street, Simcoe, ON N3Y 3W4

Identification of Premises

Beachville Fire Station No. 434696 West Hill Line, Beachville, Ontario N0J 1A0

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

Oxford Land Registry (No. 41) 480 Peel Street, Woodstock, Ontario N4S 1K2