Survey Summary |
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| Shipper Name: | Eduardo Oliveira | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | Rothschild Boulevard, 17/34 Tel Aviv |
Floor number #13; Elevator; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Curtains | 1 | 0.08 | 9 | --------- | |
| Mattress | 1 | 0.71 | 74 | --------- | |
| Kitchenware | 6 | 1.08 | 24 | --------- | |
| Plastic Box | 4 | 0.32 | 36 | --------- | |
| Toiletry | 1 | 0.04 | 12 | --------- | |
| Vase | 1 | 0.14 | 15 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| Picture | 3 | 0.3 | 31.5 | --------- | |
| Utility Cabinet | 1 | 0.34 | 35.5 | --------- | |
| Stool | 1 | 0.11 | 12 | --------- | |
| Tables, Coffee, End or Nest | 1 | 0.25 | 26.5 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Rugs, Small Roll or Pad | 1 | 0.11 | 12 | --------- | |
| Chair, Arm | 1 | 0.59 | 62 | --------- | |
| Ottoman | 1 | 0.28 | 29.5 | --------- | |
| Dining Chair | 1 | 0.42 | 44.5 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Bed, Double Size | 1 | 1.98 | 207 | --------- | |
| Linen | 2 | 0.2 | 21 | --------- | |
| Cedar Chest | 1 | 0.51 | 53 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| TV Stand | 1 | 0.48 | 50 | --------- | |
| TV | 1 | 0.25 | 26.5 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Step Ladder | 1 | 0.17 | 17.5 | --------- | |
| Shoe Cabinet | 2 | 0.68 | 71 | --------- | |
| Rugs, Large Roll or Pad | 1 | 0.34 | 35.5 | --------- | |
| Bench | 1 | 0.34 | 35.5 | --------- | |
| Shoes | 3 | 0.3 | 31.5 | --------- | |
| Linen | 4 | 0.4 | 42 | --------- | |
| Blankets | 3 | 0.54 | 45 | --------- | |
| Clothes | 6 | 0.6 | 63 | --------- | |
| Cartons, Stand-Up Wardrobe | 9 | 2.61 | 274.5 | --------- | |
| Rugs, Large Roll or Pad | 1 | 0.34 | 35.5 | --------- | |
| Chair, Arm | 1 | 0.59 | 62 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| Books | 1 | 0.04 | 4 | --------- | |
| Bookcase | 1 | 0.68 | 71 | --------- | |
| Cabinet, China | 1 | 1.7 | 177.5 | --------- | |
| Books | 5 | 0.2 | 20 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Wine rack | 1 | 0.4 | 41.5 | --------- | |
| Picture | 2 | 0.2 | 21 | --------- | |
| File Cabinet | 1 | 0.42 | 44.5 | --------- | |
| Computer | 1 | 0.2 | 20.5 | --------- | |
| Glass Table | 1 | 0.03 | 3 | --------- | |
| Books | 4 | 0.16 | 16 | --------- | |
| Bookcase | 1 | 0.68 | 71 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| CD discs | 2 | 0.08 | 8 | --------- | |
| CD rack | 1 | 0.28 | 29.5 | --------- | |
| Glassware | 3 | 0.3 | 31.5 | --------- | |
| Photo Albums | 3 | 0.12 | 12 | --------- | |
| End Cabinet | 1 | 0.85 | 88.5 | --------- | |
| Toiletry | 1 | 0.1 | 12 | --------- | |
| Rugs, Large Roll or Pad | 1 | 0.34 | 35.5 | --------- | |
| Picture | 4 | 0.4 | 42 | --------- | |
| Linen | 2 | 0.2 | 21 | --------- | |
| Trunk | 1 | 0.42 | 44.5 | --------- | |
| Buffet | 1 | 1.25 | 130 | --------- | |
| End Cabinet | 1 | 0.85 | 88.5 | --------- | |
| Bed, Double Size | 1 | 1.98 | 207 | --------- | |
| Rugs, Small Roll or Pad | 1 | 0.11 | 12 | --------- | |
| Picture | 2 | 0.2 | 21 | --------- | |
| Bookshelves, Sectional | 1 | 0.34 | 35.5 | --------- | |
| Linen | 1 | 0.1 | 10.5 | --------- | |
| Glassware | 10 | 1 | 105 | --------- | |
| Kitchenware | 6 | 0.6 | 24 | --------- | |
| Stool | 2 | 0.22 | 24 | --------- | |
| Rugs, Small Roll or Pad | 1 | 0.11 | 12 | --------- | |
| Ornaments | 2 | 0.2 | 21 | --------- | |
| End Cabinet | 1 | 0.85 | 88.5 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| Cabinet, China | 1 | 1.7 | 177.5 | --------- | |
| Dining Chair | 8 | 3.36 | 356 | --------- | |
| Table, Dining | 1 | 1.19 | 124 | --------- | |
| Vase | 2 | 0.4 | 41 | --------- | |
| Ornaments | 2 | 0.2 | 21 | --------- | |
| Dresser | 1 | 0.65 | 68 | --------- | |
| Cutlery | 1 | 0.14 | 15 | --------- | |
| Pillows | 1 | 0.18 | 19 | --------- | |
| Glass Table | 1 | 1.27 | 133 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Chair, Arm | 2 | 1.18 | 124 | --------- | |
| Sofa/ Couch, 3 Cushion | 1 | 1.7 | 177.5 | --------- | |
| Chair, Arm | 2 | 1.18 | 124 | --------- | |
| End Table | 1 | 0.57 | 59 | --------- | |
| Porch Table | 1 | 0.34 | 35.5 | --------- | |
| Ottoman | 1 | 0.28 | 29.5 | --------- | |
| Sofa 1 Cushion | 1 | 0.79 | 82.5 | --------- | |
| Statue | 1 | 0.17 | 17.5 | --------- | |
| End Table | 1 | 0.57 | 59 | --------- | |
| Bench | 2 | 0.68 | 71 | --------- | |
| Ottoman | 1 | 0.28 | 29.5 | --------- | |
| Chair, Arm | 1 | 0.59 | 62 | --------- | |
| Picture | 1 | 0.08 | 8.5 | --------- | |
| Vase | 1 | 0.25 | 26 | --------- | |
| Buffet | 1 | 1.25 | 130 | --------- | |
| Ornaments | 4 | 0.4 | 42 | --------- | |
| Glassware | 4 | 0.4 | 42 | --------- | |
| Night Table | 1 | 0.17 | 17.5 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Rugs, Large Roll or Pad | 5 | 1.7 | 177.5 | --------- | |
| Picture | 3 | 0.3 | 31.5 | --------- | |
| Statue | 1 | 0.17 | 17.5 | --------- | |
| Statue | 1 | 0.17 | 17.5 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Rugs, Small Roll or Pad | 1 | 0.11 | 12 | --------- | |
| Picture | 1 | 0.1 | 10.5 | --------- | |
| Statue | 2 | 0.34 | 35 | --------- | |
| End Table | 1 | 0.57 | 59 | --------- | |
| Total | 55.79 | 5704.5 |
| Note(s): **32000 insurance car 20000.00 **5500 kg **entrance ehad haam external elevator |
| Owner Signature |
| ____________________ |
| Owner Signature |
Images |
| Article | W | L | H | Notes | Room |
|---|---|---|---|---|---|
Buffet![]() | --------- | ||||
Vase![]() | 67 | 67 | 55 | --------- | |
Picture![]() | --------- | ||||
Ornaments![]() | --------- | ||||
Books![]() | --------- | ||||
Wine rack![]() | --------- | ||||
Picture![]() | ,,113 | 250 | 3 | --------- | |
Picture![]() | ,,113 | 250 | 3 | --------- | |
![]() |
| Item | Width | Length | Height |
|---|---|---|---|
| Picture | 120 | 170 | 14 |
| Picture | ,,113 | 250 | 3 |
| Picture | 100 | 135 | 5 |
| Glass Table | 45 | 95 | 7 |
| Vase | 75 | 75 | 35 |
| Glass Table | 118 | 118 | 3 |
| Picture | 100 | 113 | 7 |
| Vase | 67 | 67 | 55 |
| Box Name | Quantity | ||||
| Book/Small Box | 16 | ||||
| Medium Box | 54 | ||||
| Large Box | 10 | ||||
| Flat Box | 21 | ||||
| Stand Up Box | 9 | ||||