Form ID

Publication date

Location of premises

Certificate

Contract 296820WTP-05 - Thornton Water Treatment Facility, Woodstock and Sweaburg Water Systems (excluding work at the Southside Reservoir)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Oxford County
Address of Owner
415 Hunter Street (P.O. Box 397) Woodstock, ON N4S 4G5 (N4S
Name of Contractor
HIRA Limited
Address of Contractor
63 Gaylord Rd., St. Thomas, ON N5P 3R9
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
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