Form ID

Publication date

Location of premises

Certificate

Project 21192-2002 surface rehabilitation of Oxford County Road 119, between Thamesford and Ingersoll, from Oxford County Road 2 to the north limits of Ingersoll.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Oxford.
Address of Owner
415 Hunter Street (P.O. Box 397), Woodstock, Ont. N4S 4G5. (
Name of Contractor
Walmsley Bros. Ltd.
Address of Contractor
1796 Commissioners Rd. E., London, Ont. N6M 1E7.
Name of Certifier
Toney Decoo.
Address of Certifier
Same as Owner.

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

As above.