Fort Bend Subsidence District
P.O. Box 427
Richmond, TX 77469-0427
Phone: (281) 342-3273 Fax: (281) 232-3355
Instructions: 
1.Please read the water meter on each well on the last day of the month, or as close to this date as possible.
2.When reading the meters, make sure you include any zeros before or after the reading. You will need to include any multipliers or fixed zeros after the reading.
Example: 123456 X 100 or 123456 00.
3.Record the serial number of the water meter. Please indicate if the meter was changed or repaired during the past twelve months.
4. Please fax or mail this form to the Fort Bend Subsidence District officy by 06/01/2012
* Well Owner:  
ATTN:
C/O:
* Address:  
* City                                     * State      * Zip    

This form is now required under rule 8.7.
* Well #
* Reading
Date
*Meter
Manufacturer
*Water Meter
Serial #
*Water Meter
Reading
               

Please print name of person submitting report:
* Name:   Phone#:  
Comments:
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