| Shipper Name: |
Heriberto Quintana |
|
| Survey Date: |
|
|
| Origin Address: |
New York
United States
|
Floor number #0;
|
| Destination Address:
|
|
|
| Description |
Qnt. |
Volume (CFT) |
Weight (LBs) |
Comment |
Room |
| Sea | | | | | |
| large box | 40 | 320 | 2080 | | --------- |
| Box Medium | 3 | 15 | 97.5 | | --------- |
| small box | 6 | 12 | 78 | | --------- |
| Bicycle, Kids | 1 | 10 | 65 | | --------- |
| Pool Table | 1 | 48 | 312 | | --------- |
| Table, Dining | 1 | 42 | 273 | | --------- |
| Chair, Child's | 4 | 16 | 104 | | --------- |
| Picture medium | 1 | 2 | 13 | | --------- |
| Sofa/ Couch, 3 Cushion | 1 | 60 | 390 | | --------- |
| love seat | 1 | 15 | 97.5 | | --------- |
| bench,small | 1 | 2 | 13 | | --------- |
| tv 50 | 1 | 10 | 65 | | --------- |
| Sound System | 1 | 2 | 50 | | --------- |
| Ironing Board | 1 | 3 | 19.5 | | --------- |
| Washing Machine | 1 | 25 | 162.5 | | --------- |
| Dryer, Electric or Gas | 1 | 30 | 195 | | --------- |
| Bed, Double Size | 1 | 70 | 455 | | --------- |
| Printer | 1 | 3 | 19.5 | | --------- |
| Cabinet, Filing | 1 | 12 | 78 | | --------- |
| Desk, Small or Winthrop | 1 | 27 | 175.5 | | --------- |
| chair beach | 1 | 1 | 6.5 | | --------- |
| office chair | 1 | 15 | 25 | | --------- |
| Golf Bag/Clubs | 1 | 6 | 39 | | --------- |
| small box | 5 | 10 | 65 | | --------- |
| Computer | 1 | 7 | 45.5 | | --------- |
| Bed, King Size | 1 | 75 | 487.5 | | --------- |
| Mattress | 2 | 50 | 325 | | --------- |
| box spring | 2 | 30 | 195 | | --------- |
| Bench, Medium | 1 | 3 | 20 | | --------- |
| night stand | 2 | 20 | 130 | | --------- |
| Lamp table | 1 | 1 | 6.5 | | --------- |
| love seat | 1 | 15 | 97.5 | | --------- |
| Dresser or Vanity Bench | 1 | 24 | 156 | | --------- |
| Mirror, Large | 1 | 11 | 200 | | --------- |
| Fan pedestal | 1 | 2 | 13 | | --------- |
| Total | | 994 | 6554.5 | | |
| Owner Signature |
|
|
| ____________________ |
Cartons
| Box Name | Quantity |
| Book/Small Box | 0 |
| Medium Box | 0 |
| Large Box | 0 |
| Flat Box | 0 |
| Stand Up Box | 0 |