PACKING INVENTORY -- File 58729

Shipper Name:	Simozrag David	Container #: :
Packing Job Date:	22 Dec 2025	Seal #:
Origin Address:		Type:	By Sea
Destination Address:		Total Volume:

No.	Description			Comment			Box Type	Room
1	Pillows						Large Box	---------
	Bags							---------
	Clothes							---------
2	Clothes						Medium Box	---------
	Bags							---------
	Shoes							---------
3	Picture						Medium Box	---------
	Photo Albums							---------
	Clothes							---------
4	Clothes						Wrapped	---------
	Photo Albums							---------
	Computer			Notebook				---------
5	Clothes						Wrapped	---------
	Decorations							---------
	Shoes							---------
	Kitchenware							---------
6	Decorations						Wrapped	---------
	Clothes							---------
	Kitchenware							---------
7	Kitchenware						Wrapped	---------
	Clothes							---------
	Decorations							---------
8	Coffee Table						Wrapped	---------
9	Shoes						Medium Box	---------
	Pillows							---------
	Decorations							---------
10	Photo Albums						Medium Box	---------
	Kitchenware							---------
	Clothes							---------
11	Kitchenware						Medium Box	---------
	Photo Albums							---------
	Bags							---------
	Clothes							---------
	Shoes							---------
12	Vase						Wrapped	---------
	Kitchenware							---------
	Iron							---------
	Mirror							---------
	Computer Monitor							---------
	Shoes							---------
13	Rugs, Small Roll or Pad						Wrapped	---------
14	Bicycle						Wrapped	---------
15	Bookcase						Wrapped	---------
16	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
17	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
18	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
19	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
20	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
21	Bed single (Part of)						Wrapped	---------
22	Bed single (Part of)						Wrapped	---------
23	Chair, Dining						Wrapped	---------
	Pillows							---------
	Towels							---------
24	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
25	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------
26	Sofa/ Couch, 3 Cushion (Part of)						Wrapped	---------

Total Number of Packages: 26

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
22 Dec 2025
Date:

Shipper
22 Dec 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: