METER READS

Company Name:

Contact Name:

Telephone:

Email Address:

MACHINE ID#

B/W METER

COLOR METER

METER DATE *

MACHINE ID#

B/W METER

COLOR METER

METER DATE *

MACHINE ID#

B/W METER

COLOR METER

METER DATE *

MACHINE ID#

B/W METER

COLOR METER

METER DATE *

MACHINE ID#

B/W METER

COLOR METER

METER DATE *

Comments:

Verification:

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