10717959

MANDALUYONG-MAKATI BUSINESS AREA

CUSTOMER INFORMATION
HIGH-RISE BUILDINGS/CONDOMINIUMS

DATE:

ACCOUNT INFORMATION
CAN MRU:
Account Name:
Address:

Contact Person/
Designation
Contact Number:
Present Rate Code:

METER INFORMATION
Meter Brand: Meter Size:
Meter Number: Verified Reading:

BUILDING INFORMATION
Building Name: Type of Establishment: 4-storey residential building
Total No. of Users: 0
Total No. of Units: 0 Total No. of Occupied Units: 0
Commercial 0 Commercial ___________0
Residential 0 Residential ___________0
Total No. of Private Meters: 0 Total No. of Active Private Meters: 0
Commercial 0 Commercial ___________0
Residential 0 Residential ___________0

STM/KAM FINDINGS:
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_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

ACTION TAKEN:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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Verified by: Inspection Conducted by:

___________________________
Building Representative STM/KAM
[Name and Signature] [Name and Signature]

Designation