Survey Summary
Shipper Name:	Leonid Belenkiy Brauns
Email:	leonid.belenky@icloud.com
Survey Date:
Origin Address:	Ha Lemon 5 Petach Tikva	Floor number #0;
Destination Address:
Packing Date:

Description	Qnt.	Volume (CBM)	Weight (KG)	Comment	Room
Air
Washing Machine	1	0.99	103.5		---------
Refrigerator	1	1.84	192		---------
Glassware	4	0.4	42		---------
Kitchenware	3	0.3	12		---------
Ornaments	3	0.3	31.5		---------
Cartons, Stand-Up Wardrobe	2	0.58	61		---------
Clothes	3	0.3	31.5		---------
Night Table	2	0.34	35		---------
Bed, Double Size	1	1.98	207		---------
TV	1	0.25	26.5		---------
Coffee Table	1	0.57	59		---------
Sofa/ Couch, 2 Cushion	1	1.19	124		---------
Sofa/ Couch, 3 Cushion	1	1.7	177.5		---------
Dining Chair	2	0.84	89		---------
Table, Dining	1	1.19	124		---------
Total		12.78	1315

Owner Signature

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Owner Signature