Dynamic Generated Document

PACKING INVENTORY -- File 17082

Shipper Name:	kermer shlomo	Container #: :
Packing Job Date:	27 Aug 2025	Seal #:
Origin Address:		Type:	By Land
Destination Address:		Total Volume:

No.	Description	Comment	Box Type	Room
1	BED		Wrapped	---------
2	BED		Wrapped	---------
3	matrass		Wrapped	---------
4	matrass		Wrapped	---------
5	BED		Wrapped	---------
6	BED		Wrapped	---------
7	BED		Wrapped	---------
8	part of bed		Wrapped	---------
9	part of bed		Wrapped	---------
10	CARPET		Wrapped	---------
11	part of bed		Wrapped	---------
12	matrass		Wrapped	---------
13	matrass		Wrapped	---------
14	matrass		Wrapped	---------
15	Couch		Wrapped	---------
16	chair		Wrapped	---------
17	Couch		Wrapped	---------
18	furniture		Wrapped	---------
19	chair		Wrapped	---------
20	lamp		Wrapped	---------
21	lamp		Wrapped	---------
22	Pillows		Large Box	---------
23	Pillows		Large Box	---------
24	Dresser		Wrapped	---------
25	Picture		Flat Box	---------
26	Picture		Flat Box	---------
27	Picture		Flat Box	---------
28	Picture		Flat Box	---------
29	Picture		Flat Box	---------
30	Picture		Flat Box	---------
31	Picture		Flat Box	---------
32	Pillows		Large Box	---------
33	Towels		Medium Box	---------
34	Pillows		Large Box	---------
35	Pillows		Large Box	---------
36	CARPET		Wrapped	---------
37	CARPET		Wrapped	---------
38	CARPET		Wrapped	---------
39	trash t		Wrapped	---------
40	trash t		Wrapped	---------
41	trash t		Wrapped	---------
42	Pillows		Large Box	---------
43	Picture		Flat Box	---------
44	Towels		Medium Box	---------
45	chair		Wrapped	---------
46	chair		Wrapped	---------
47	chair		Wrapped	---------
48	chair		Wrapped	---------
49	plants		Wrapped	---------
50	Table		Wrapped	---------
51	Table		Wrapped	---------
52	chair		Wrapped	---------
53	Pillows		Large Box	---------
54	Couch		Wrapped	---------
55	screws		Wrapped	---------
56	glass		Wrapped	---------
57	table leg		Wrapped	---------

Total Number of Packages: 57

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
27 Aug 2025
Date:

Shipper
27 Aug 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:

Page of

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	27 Aug 2025 Date:
	Shipper	27 Aug 2025 Date:
Into Store	Checked in by	Date: