No.	Description	Comment	Box Type	Room
1	bags		Medium Box	---------
2	kitchen		Medium Box	---------
3	clothes		Medium Box	---------
4	bags		Wrapped	---------
5	bags		Wrapped	---------
6	bags		Wrapped	---------
7	bags		Wrapped	---------
8	קופסא פלסטיק		Wrapped	---------
	clothes			---------
9	clothes		Wrapped	---------
	קופסא פלסטיק			---------
10	clothes		Wrapped	---------
	קופסא פלסטיק			---------
11	clothes		Wrapped	---------
	קופסא פלסטיק			---------
12	clothes		Wrapped	---------
	קופסא פלסטיק			---------
13	קופסא פלסטיק		Wrapped	---------
	laundry basket			---------
	clothes			---------
14	pictures		Wrapped	---------
15	clothes		Wrapped	---------
16	kitchen		Medium Box	---------
17	kitchen		Medium Box	---------
18	achair		Wrapped	---------
	achair			---------
19	Carpet ironing board		Wrapped	---------
20	Camping mattress cart on wheels		Wrapped	---------
21	tv samsung		Wrapped	---------
22	אָרוֹן בְּגָדִים קטן		Wrapped	---------
23	table oficc		Wrapped	---------
24	achair		Wrapped	---------
25	כיסא משרדי		Wrapped	---------
26	Bicycle		Wrapped	---------
27	מאוורר		Wrapped	---------
28	Living room lamps		Medium Box	---------
29	Living room lamps		Book/Small Box	---------
30	carpet		Wrapped	---------
31	מסך מחשב קטן		Wrapped(PBO)	---------

Total Number of Packages: 31

COLLECTION: THE UNDERSIGNED CONTRACTOR OR AUTHORIZED AGENT HAS PREPARED THE ABOVE LIST OF NUMBERED ITEMS AND INDICATED THE CONDITION IN WHICH THEY WERE RECEIVED. YOUR SIGNATURE CONFIRMS YOUR AGREEMENT WITH THE LIST, ANY ALTERATIONS MUST BE NOTED ON THIS FORM IMMEDIATELY.
At origin	Contractor or Authorized agent Driver Porter
	Crew Foreman	24 Jul 2025 Date:
	Shipper	24 Jul 2025 Date:
Into Store	Checked in by	Date:

DELIVERY: ALL GOODS LISTED HAVE BEEN DELIVERED BY THE UNDERSIGNED CONTRACTOR OR THEIR AGENT AND YOU HAVE SIGNED IN AGREEMENT. ANY DISCREPANCIES MUST BE NOTED BY YOU ON THIS FORM IMMEDIATELY.
At Destination	Contractor or Authorized agent Driver Porter
	Crew Foreman:	Date:
	Shipper:	Date:
Out of Store	Checked out by	Date: