Survey Summary |
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| Shipper Name: | Pedro Farre | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | HERMAN COHEN 4, APART 6 Tel Aviv Israel |
Floor number #3; Elevator; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Tool Box | 1 | 0.14 | 15 | --------- | |
| Christmas Tree | 1 | 0.42 | 44.5 | --------- | |
| Clothes | 6 | 0.6 | 63 | --------- | |
| Linen | 3 | 0.3 | 31.5 | --------- | |
| Ironing Board | 1 | 0.08 | 9 | --------- | |
| Dresser | 1 | 0.65 | 68 | --------- | |
| Shoes | 5 | 0.5 | 52.5 | --------- | |
| Ottoman | 1 | 0.28 | 29.5 | --------- | |
| Bed, Double Size | 1 | 1.98 | 207 | --------- | |
| Ornaments | 2 | 0.2 | 21 | --------- | |
| Dresser | 1 | 0.65 | 68 | --------- | |
| Night Table | 4 | 0.68 | 70 | --------- | |
| Bed single | 2 | 2.38 | 248 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Clothes | 10 | 1 | 105 | --------- | |
| Linen | 4 | 0.4 | 42 | --------- | |
| Cartons, Stand-Up Wardrobe | 10 | 2.9 | 305 | --------- | |
| Picture | 2 | 0.2 | 21 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Buffet Cabinet | 1 | 1.02 | 106.5 | --------- | |
| Cabinet, China | 1 | 1.7 | 177.5 | --------- | |
| Picture | 3 | 0.3 | 31.5 | --------- | |
| Toiletry | 1 | 0.1 | 12 | --------- | |
| Dishwasher | 1 | 0.68 | 71 | --------- | |
| Refrigerator | 1 | 1.84 | 192 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| Picture | 3 | 0.3 | 31.5 | --------- | |
| Breakfast Table | 1 | 0.34 | 35.5 | --------- | |
| Kitchenware | 3 | 0.54 | 12 | --------- | |
| Glassware | 12 | 1.2 | 126 | --------- | |
| Shoe Cabinet | 3 | 1.02 | 106.5 | --------- | |
| Picture | 2 | 0.2 | 21 | --------- | |
| Lamp, Floor or Pole | 2 | 0.22 | 24 | --------- | |
| Books | 10 | 0.4 | 40 | --------- | |
| Bookcase | 3 | 2.04 | 213 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Tables, Coffee, End or Nest | 3 | 0.75 | 79.5 | --------- | |
| Coffee Table | 1 | 0.57 | 59 | --------- | |
| Sofa/ Couch, 2 Cushion | 1 | 1.19 | 124 | --------- | |
| Sofa/ Couch, 3 Cushion | 1 | 1.7 | 177.5 | --------- | |
| Ottoman | 1 | 0.28 | 29.5 | --------- | |
| Chair, Overstuffed | 1 | 0.51 | 53 | --------- | |
| Photo Albums | 2 | 0.08 | 8 | --------- | |
| Bookshelves, Sectional | 1 | 0.34 | 35.5 | --------- | |
| Dresser or Vanity Bench | 1 | 0.68 | 71 | --------- | |
| Picture | 4 | 0.4 | 42 | --------- | |
| Dining Chair | 6 | 2.52 | 267 | --------- | |
| Table, Dining | 1 | 1.19 | 124 | --------- | |
| Total | 36.04 | 3724 |
| Note(s): **outside elevator shuttle |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 12 | ||||
| Medium Box | 44 | ||||
| Large Box | 3 | ||||
| Flat Box | 15 | ||||
| Stand Up Box | 10 | ||||