| Shipper Name: |
Leiza Montalvo |
|
| Survey Date: |
|
|
| Origin Address: |
New York
United States
|
Floor number #0;
|
| Destination Address:
|
|
|
| Description |
Qnt. |
Volume (CFT) |
Weight (LBs) |
Comment |
Room |
| Sea | | | | | |
| large box | 5 | 40 | 260 | | --------- |
| Box Medium | 2 | 10 | 65 | | --------- |
| small box | 3 | 6 | 39 | | --------- |
| large box | 3 | 24 | 156 | | --------- |
| small box | 2 | 4 | 26 | | --------- |
| Box Medium | 9 | 45 | 292.5 | | --------- |
| large box | 1 | 8 | 52 | | --------- |
| Weight Bar | 1 | 1 | 15 | | --------- |
| tv 50 | 1 | 10 | 65 | | --------- |
| Desk, Secretary | 1 | 42 | 273 | | --------- |
| office chair | 1 | 15 | 25 | | --------- |
| tv 32 | 1 | 7 | 45.5 | | --------- |
| Mattress | 1 | 25 | 162.5 | | --------- |
| Total | | 237 | 1476.5 | | |
| Owner Signature |
|
|
| ____________________ |
Cartons
| Box Name | Quantity |
| Book/Small Box | 0 |
| Medium Box | 0 |
| Large Box | 0 |
| Flat Box | 0 |
| Stand Up Box | 0 |