Teton Village Water & Sewer District FY26-27 Water Meter Purchase Agreement
(307) 733-5457 • office@tetonvillagewy.gov • 7020 N Rachel Way • PO Box 586 • Teton Village, WY 83025 Instructions: Please complete all sections of this agreement and deliver to the District Office. A battery powered transceiver is required for every installed meter to enable remote automatic meter reading. If there are any questions, please call the District Office at (307) 733-5457. All work must be done in accordance with the Teton Village Water & Sewer District Rules & Regulations. OWNER INFORMATION Owner Name: Billing Address:
(City)
Phone #:
(State)
(Zip)
(State)
(Zip)
Email: PURCHASER INFORMATION (If other than owner)
Printed Name: Mailing Address:
(City)
Phone #:
Email: METER INSTALLATION LOCATION
Description: Street Address: WATER METERS & ACCESSORIES
Lot #: Unit Price*
¾ inch Sensus iPearl Meter – male meter threads
Quantity
Price X Qty
$195
$
$305
$
1 ½ inch Sensus OMNI+ C2 Register and Chamber
$1190
$
2 inch Sensus OMNI+ C2 Register and Chamber
$1215
$
3 inch Sensus OMNI+ C2 Register and Chamber
$1740
$
$1645
$
$2005
$
$365
$
$20
$
NTP (male) adapters and transceiver
1 inch Sensus iPearl Meter – male meter threads NTP (male) adapters and transceiver
1 ½ inch Sensus OMNI+ C2 - flanged
NTP (female) bronze flanges, gaskets, nuts, bolt, and transceiver
2 inch Sensus OMNI+ C2 - flanged
NTP (female) bronze flanges, gaskets, nuts, bolt, and transceiver
1 ½ & 2 inch Sensus OMNI+ C2 Replacement Register Only (available while inventory lasts)
Other meter size : Please contact the District Operators for assistance Shipping and handling/per meter =
*Unit price
subject to change Page 1 of 2
Total
20.00
$ Revised: August 24 2026
PROPERTY OWNER CERTIFICATION *Required I, the owner, certify that all information in this application, and included as part of this application, is correct. If submitted by someone other than the owner, I authorize the applicant listed to act on my behalf. Signature of Property Owner: _____________________ Printed Name:
_________
Date:
THE FOLLOWING DISTRICT SIGNATURES ARE REQUIRED (For District Use Only) METER PICK-UP INFORMATION PICKED UP BY (SIGNATURE)
DATE
PRINTED NAME PHONE NUMBER PURCHASE AGREEMENT RECEVIED District Employee:
Date:
Date Copy Sent to Plant:
Account #:
Installation Inspection, Transceiver Installation & Testing Approval District Employee:
Date MXU Installed:
Employee Signature: METER DETAILS DATE METER ORDERED
DATE METER RECEIVED
METER SERIAL NUMBER MXU SERIAL NUMBER DATE METER PICKED UP
SERVICE MADE ACTIVE
DATE METER BILLED
METER APP UPLOADED TO UMS
Page 2 of 2
Revised: August 24 2026