TOWN OF SCHODACK
265 Schuurman Rd.
CASTLETON, NEW YORK 12033
SCHODACK BUILDING DEPARTMENT

Water meter Sale Information

Water District:___________________________________

Home Owner: _______________________________Date: ________________________

Home Owner's Address: ___________________________________________________

Home Owner's Phone Number: _____________________________________________

Tax Map Number: _______________________________________________________

Date & Time Meter will be installed: ________________________________________

Name of Plumber: _______________________________________________________

Plumber's Phone Number:                                                                                        _________________________________________________

(Following information must be entered at time meters are 
picked up at the Schodack Building Department)

Line Meter Serial Number: ________________________________________________

Line Meter Reading: _____________________________________________________

Remote Meter Serial Number: _____________________________________________

Remote Meter Reading: __________________________________________________

Materials Picked Up By: __________________________________________________
                         Signature

Sold By:____________________________________Date:_______________________
        Signature

SEE INSTRUCTIONS FOR INSTALLATION OF NEW METER