| Shipper Name: |
Douglas Leff |
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| Survey Date: |
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| Origin Address: |
New York United States
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Floor number #0;
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| Destination Address:
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| Description |
Qnt. |
Volume (CFT) |
Weight (LBs) |
Comment |
Room |
| Sea | | | | | |
| large box | 23 | 184 | 1196 | | --------- |
| Box Medium | 3 | 15 | 97.5 | | --------- |
| small box | 15 | 30 | 195 | | --------- |
| Computer | 1 | 7 | 45.5 | | --------- |
| Tv 25 | 1 | 3 | 19.5 | | --------- |
| Bookshelves, Sectional | 1 | 12 | 78 | | --------- |
| Bench | 1 | 12 | 78 | | --------- |
| Cabinet, Filing | 1 | 12 | 78 | | --------- |
| Chest | 1 | 24 | 156 | | --------- |
| air portable | 1 | 12 | 78 | | --------- |
| air portable | 1 | 12 | 78 | | --------- |
| Cabinet, Filing | 1 | 12 | 78 | | --------- |
| Fan pedestal | 1 | 2 | 13 | | --------- |
| Vacuum Cleaner | 1 | 6 | 39 | | --------- |
| Total | | 343 | 2229.5 | | |
| Owner Signature |
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| ____________________ |
Cartons
| Box Name | Quantity |
| Book/Small Box | 0 |
| Medium Box | 0 |
| Large Box | 0 |
| Flat Box | 0 |
| Stand Up Box | 0 |