Form ID

Publication date

Location of premises

Certificate

Oxford Road 17 Bridge Replacement & Oxford Road 30 Reconstruction, Contract 291006/291074 - 2008

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Oxford County
Address of Owner
21 Reeve Street (P.O. Box 1614), Woodstock, ON N4S 7Y3
Name of Contractor
J-AAR Excavating Limited
Address of Contractor
31 Exeter Road, London, ON N6L 1B6
Name of Certifier
Dadean Assam, P. Eng.
Address of Certifier
Same as Owner

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

as above