| Shipper Name: |
Ben Stecher |
|
| Survey Date: |
|
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| Origin Address: |
New York
United States
|
Floor number #0;
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| Destination Address:
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| Description |
Qnt. |
Volume (CFT) |
Weight (LBs) |
Comment |
Room |
| Sea | | | | | |
| large box | 20 | 160 | 1040 | | --------- |
| Books, Medium box | 6 | 21 | 138 | | --------- |
| small box | 6 | 12 | 78 | | --------- |
| Table, Dining | 1 | 42 | 273 | | --------- |
| Chair, Child's | 6 | 24 | 156 | | --------- |
| Wine rack | 1 | 14 | 91 | | --------- |
| Desk, Small or Winthrop | 1 | 27 | 175.5 | | --------- |
| Bureau/Dresser/Chest | 1 | 30 | 195 | | --------- |
| Bed, Single or Hollywood | 1 | 54 | 351 | | --------- |
| Mattress twin | 1 | 5 | 32.5 | | --------- |
| Metal Shoe Rack | 1 | 1 | 10 | | --------- |
| Total | | 390 | 2539.5 | | |
| Owner Signature |
|
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| ____________________ |
Cartons
| Box Name | Quantity |
| Book/Small Box | 0 |
| Medium Box | 6 |
| Large Box | 0 |
| Flat Box | 0 |
| Stand Up Box | 0 |