Report Meter Reading

business solutions + document management + workflow automation

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Beeler system number 3:

Black/white meter 6:

Color meter 5:

Color meter 8:

Beeler system number 4:

Black/white meter 7:

Please fill out the needed information on this form. If you are not entering a color unit please disregard the color meter. There is space to include 8 different units on this form. If you have more than 8 units please submit as many additional forms as necessary to complete the total count for your office.

REPORT METER READING

Beeler system number 7:

Color meter 1:

Beeler system number 1: *

Beeler system number 5:

Color meter 6:

Black/white meter 8:

Color meter 4:

Phone number:

Black/white meter 5:

Black/white meter 2:

Color meter 3:

Additional comments:

Black/white meter 3:

Color meter 2:

Beeler system number 6:

Beeler system number 8:

Black/white meter 4:

Color meter 7:

Name: *

Beeler system number 2:

Black/white meter 1: *

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