GROUND FLOOR

COMMERCIAL #B1

ACCOUNT NUMBER:
#0000000

COMMERCIAL #B2

ACCOUNT NUMBER:
#0000000

COMMERCIAL #B3

ACCOUNT NUMBER:
#0000000

HOUSING #B4

ACCOUNT NUMBER:
#0000000

You can fill your TELEm Form directly with your computer by clicking the white spaces before printed.

FIRST FLOOR

HOUSING #B5

ACCOUNT NUMBER:
#0000000

HOUSING #B6

ACCOUNT NUMBER:
#0000000

HOUSING #B7

ACCOUNT NUMBER:
#0000000

HOUSING #B8

ACCOUNT NUMBER:
#0000000

You can fill your TELEm Form directly with your computer by clicking the white spaces before printed.

SECOND FLOOR

HOUSING #B9

ACCOUNT NUMBER:
#0000000

HOUSING #B10

ACCOUNT NUMBER:
#0000000

HOUSING #B11

ACCOUNT NUMBER:
#0000000

HOUSING #B12

ACCOUNT NUMBER:
#0000000

You can fill your TELEm Form directly with your computer by clicking the white spaces before printed.

THIRD FLOOR

HOUSING #B13

ACCOUNT NUMBER:
#0000000

HOUSING #B14

ACCOUNT NUMBER:
#0000000

HOUSING #B15

ACCOUNT NUMBER:
#0000000

HOUSING #B16

ACCOUNT NUMBER:
#0000000

You can fill your TELEm Form directly with your computer by clicking the white spaces before printed.