| Shipper Name: |
אביב |
Phone: 0542341804 |
| Survey Date: |
15-Jan-2020 |
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| Origin Address: |
החרש 8
תל אביב
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| Destination Address:
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| Description |
Qnt. |
Volume (CBM) |
Weight (KG) |
Comment |
Room |
| Sea | | | | | |
| Chairs, Folding | 170 | 13.6 | 1530 | | --------- |
| Chair, Dining | 61 | 24.4 | 2531.5 | | --------- |
| Chair, Arm | 15 | 8.85 | 930 | | --------- |
| Table, Dining | 14 | 16.66 | 1736 | | --------- |
| End Table | 25 | 14.25 | 1475 | | --------- |
| Utility Cabinet | 2 | 0.68 | 71 | | --------- |
| Stool | 13 | 1.43 | 156 | | --------- |
| Buffet | 7 | 8.75 | 910 | | --------- |
| Sofa/ Couch, 3 Cushion | 3 | 5.1 | 532.5 | | --------- |
| Painting | 12 | 0.72 | 72 | | --------- |
| Utility Cabinet | 4 | 1.36 | 142 | | --------- |
| Buffet | 2 | 2.5 | 260 | | --------- |
| Speaker | 5 | 1.25 | 130 | | --------- |
| Corner Lamp Shade | 12 | 2.4 | 246 | | --------- |
| Stove | 7 | 4.2 | 437.5 | | --------- |
| Table Utility | 2 | 0.12 | 12 | | --------- |
| Refrigerator | 7 | 12.88 | 1344 | | --------- |
| Metal Shelves | 5 | 0.85 | 87.5 | | --------- |
| Table Utility | 4 | 0.24 | 24 | | --------- |
| Cartons, Large | 200 | 28 | 3000 | | --------- |
| Bar, Portable | 20 | 10.2 | 1060 | | --------- |
| Lamp, Floor or Pole | 10 | 1.1 | 120 | | --------- |
| Statue | 4 | 0.68 | 70 | | --------- |
| Flower Pots | 6 | 2.04 | 213 | | --------- |
| Total | | 163.18 | 17019.5 | | |
| Owner Signature |
|
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| ____________________ |
| Article |
W | L | H | Notes | Room |
  | | | | | |
 | | | | | |
 | | | | | |
 | | | | | |
 | | | | | |
 | | | | | |
 | | | | | |
Chair, Dining
 | 0 | 0 | 0 | | --------- |
Chair, Dining
 | 0 | 0 | 0 | | --------- |
End Table
 | 0 | 0 | 0 | | --------- |
Utility Cabinet
 | 0 | 0 | 0 | | --------- |
Buffet
 | 0 | 0 | 0 | | --------- |
Buffet
 | 0 | 0 | 0 | | --------- |
Buffet
 | 0 | 0 | 0 | | --------- |
Painting
 | 0 | 0 | 0 | | --------- |
Painting
 | 0 | 0 | 0 | | --------- |
Cartons
| Box Name | Quantity |
| Book/Small Box | 0 |
| Medium Box | 0 |
| Large Box | 200 |
| Flat Box | 0 |
| Stand Up Box | 0 |