Certificate of Completion

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Form ID

Publication date

Location of premises

Oxford County,

Town of Tillsonburg,

Town of Tillsonburg,

Certificate

Reconstruction of Broadway - Hwy. 19 - Connecting Link, Venison St. to Concession St.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Tillsonburg.
Address of Owner
200 Broadway, 2nd Floor, Tillsonburg, ON N4G 5A7.
Name of Contractor
969774 Ontario Ltd. (Elgin Construction).
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8.
Name of Certifier
Cyril J. Demeyere Limited.
Address of Certifier
261 Broadway, Box 606, Tillsonburg, ON N4G 4J1.

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

Town of Tillsonburg.
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