Survey Summary |
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| Shipper Name: | Jason Miles ITGBL Hilldrup | |
| Email: | MILESJE@STATE.GOV | |
| Survey Date: | ||
| Origin Address: | Basel 21 A |
Floor number #0; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Bench | 1 | 0.34 | 35.5 | --------- | |
| Trash Can | 1 | 0.25 | 26.5 | --------- | |
| Golf club | 1 | 0.42 | 44.5 | --------- | |
| Step Ladder | 1 | 0.17 | 17.5 | --------- | |
| Scooter Kids | 2 | 0.56 | 59 | --------- | |
| Exercise Bike | 1 | 0.57 | 59 | --------- | |
| Clothes | 4 | 0.4 | 42 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Bed, King Size | 1 | 2.12 | 221.5 | --------- | |
| Picture | 2 | 0.2 | 21 | --------- | |
| Shoes | 2 | 0.2 | 21 | --------- | |
| Vacuum Cleaner | 2 | 0.34 | 35 | --------- | |
| Mirror | 1 | 0.16 | 16.5 | --------- | |
| Cartons, Stand-Up Wardrobe | 5 | 1.45 | 152.5 | --------- | |
| Rugs, Small Roll or Pad | 1 | 0.11 | 12 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Toys | 4 | 0.72 | 76 | --------- | |
| Books | 3 | 0.12 | 12 | --------- | |
| Towels | 3 | 0.3 | 31.5 | --------- | |
| Kitchenware | 2 | 0.08 | 8 | --------- | |
| Clothes | 10 | 1 | 105 | --------- | |
| Christmas Ornaments | 2 | 0.16 | 18 | --------- | |
| Picture | 3 | 0.3 | 31.5 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Bed, King Size | 1 | 2.12 | 221.5 | --------- | |
| Artwork | 2 | 0.2 | 24 | --------- | |
| Linen | 3 | 0.3 | 31.5 | --------- | |
| Cooler Box | 1 | 0.24 | 25 | --------- | |
| Sleeping Bag | 4 | 0.44 | 48 | --------- | |
| Plastic Box | 3 | 0.24 | 27 | --------- | |
| Chair, office | 1 | 0.45 | 47.5 | --------- | |
| Computer | 1 | 0.2 | 20.5 | --------- | |
| Printer | 1 | 0.08 | 9 | --------- | |
| Sports Equipment | 3 | 1.35 | 142.5 | --------- | |
| Organ | 1 | 0.34 | 35.5 | --------- | |
| Books | 3 | 0.12 | 12 | --------- | |
| Clock | 1 | 0.23 | 23.5 | --------- | |
| Picture | 8 | 0.8 | 84 | --------- | |
| Guitar | 2 | 0.4 | 41 | --------- | |
| Xbox/DVD Player | 1 | 0.08 | 9 | --------- | |
| TV Stand | 1 | 0.48 | 50 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Chair, Overstuffed | 1 | 0.51 | 53 | --------- | |
| Ornaments | 6 | 0.6 | 63 | --------- | |
| Tool Box | 1 | 0.5 | 52 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Kitchen Appliances | 2 | 0.36 | 21 | --------- | |
| Trash Can | 1 | 0.25 | 26.5 | --------- | |
| Metal Shelves | 2 | 0.34 | 35 | --------- | |
| Towels | 1 | 0.1 | 10.5 | --------- | |
| Cutlery | 1 | 0.04 | 15 | --------- | |
| Coffee Maker | 1 | 0.08 | 9 | --------- | |
| Kitchenware | 6 | 1.08 | 24 | --------- | |
| Glassware | 5 | 0.5 | 52.5 | --------- | |
| Mattress | 1 | 0.71 | 74 | --------- | |
| toy kitchen | 1 | 0.25 | 0 | --------- | |
| Toys | 15 | 2.7 | 285 | --------- | |
| Total | 27.17 | 2727 | |||
| Air | |||||
| Clothes | 4 | 0.4 | 42 | --------- | |
| Toys | 3 | 0.54 | 57 | --------- | |
| Total | 0.94 | 98 |
| Note(s): **car June 30 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 9 | ||||
| Medium Box | 40 | ||||
| Large Box | 30 | ||||
| Flat Box | 14 | ||||
| Stand Up Box | 5 | ||||