FM/SMA Monthly Meter Reading Recorder

Please provide the following contact information and meter readings:

Account Name:
Contact Name:
E-Mail:
Equipment Serial Number/s:
For KIP, enter Area meter reading in the "A" space below. For Xerox (wide-format), enter readings in both the "A" and "B" boxes below. For Xerox office products (narrow format) and multifunction systems, enter in area indicated Color and B/W below.
Enter Area Meter "A" Reading Here:
Enter Length Meter "B" Reading Here:
Enter Xerox Office Products (narrow format) *Meters* *Below...*
Enter the B/W Reading Here:
Enter the Color Reading Here:
Special Notes: