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Water Exclusion Meter Reading Submission Form
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Customers should use this form by the 20th of the month in which they are to be billed to report meter readings on outside meters. (At least once a year if monthly consumption is low.)
You will need your Exclusion Meter Number and your Reading. You can submit readings for up to three different meters on this form.
For more information, please contact Dianne Piotrowski, Utility Billing, at (804) 520-9288 or by email at firstname.lastname@example.org.
Exclusion Meter Number 1:
Meter Reading 1:
Exclusion Meter Number 2:
Meter Reading 2:
Exclusion Meter Number 3:
Meter Reading 3:
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