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Survey Summary |
Customer Information |
| ltrlShipperName: | XXShipperNameYY | XXPhoneYY |
| ltrlSurveyDate: | XXSurveyDateYY | |
| ltrlOriginAddress: | XXOriginAddressYY | XXOriginDescriptionYY |
| ltrlDestinationAddress: |
XXDeliveryAddressYY |
XXDeliveryDescriptionYY |
Items Inventory |
| Description | Qnt. | ltrlVolume | ltrlWeight | Comment | Room |
| XXCommentsYY |
| ltrlOwnerSignature |
| ____________________ |