Survey Summary |
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| Shipper Name: | Moises Avilez | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | Shmuel Salant 34, apartment 1, Petach Tikva |
Floor number #0; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Glassware | 8 | 0.8 | 84 | --------- | |
| Kitchenware | 6 | 1.08 | 24 | --------- | |
| Ornaments | 10 | 1 | 105 | --------- | |
| Clothes | 15 | 1.5 | 157.5 | --------- | |
| Ladder | 1 | 0.28 | 29.5 | --------- | |
| Dresser | 1 | 0.65 | 68 | --------- | |
| Chair, Arm | 2 | 1.18 | 124 | --------- | |
| Bicycle, Kids | 1 | 0.28 | 29.5 | --------- | |
| Total | 6.77 | 620.5 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 0 | ||||
| Medium Box | 33 | ||||
| Large Box | 6 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 0 | ||||