Form ID

Publication date

Location of premises

Certificate

Various Streets - Hot Mix Asphalt Paving.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg.
Address of Owner
200 Broadway Street, 2nd Floor, Town Center Mall, Tillsonbur
Name of Contractor
Oxford Sand & Gravel Limited
Address of Contractor
R.R. #4, PO Box 456, Woodstock, ON N4S 7Y5
Name of Certifier
Corporation of the Town of Tillsonburg.
Address of Certifier
Operations Services, 10 Lisgar Avenue, Tillsonburg, Ont. N4G

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

Corporation of the Town of Tillsonburg, 200 Broadway Street, 2nd Floor, Town Center Mall, Tillsonburg, Ont. N4G 5A7.