Survey Summary |
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| Shipper Name: | MILSTEIN DAVID ITGBL Covan | |
| Email: | MilsteinDD@state.gov | |
| Survey Date: | ||
| Origin Address: | Harav Hagon 10/64 JERUSALEM Israel |
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 | |||||
| Clothes | 10 | 1 | 105 | --------- | |
| Cartons, Stand-Up Wardrobe | 2 | 0.58 | 61 | --------- | |
| Bed, Double Size | 1 | 1.98 | 207 | --------- | |
| Mattress | 1 | 0.71 | 74 | --------- | |
| Books | 6 | 0.24 | 24 | --------- | |
| Ornaments | 5 | 0.5 | 52.5 | --------- | |
| Yoga Mat | 1 | 0.14 | 15 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Trash Can | 1 | 0.25 | 26.5 | --------- | |
| Kitchenware | 6 | 0.6 | 24 | --------- | |
| Microwave Oven | 1 | 0.11 | 12 | --------- | |
| Glassware | 4 | 0.4 | 42 | --------- | |
| Total | 6.62 | 654.5 | |||
| Air | |||||
| Ornaments | 2 | 0.2 | 21 | --------- | |
| Clothes | 1 | 0.1 | 10.5 | --------- | |
| Total | 0.3 | 31.5 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 6 | ||||
| Medium Box | 28 | ||||
| Large Box | 0 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 2 | ||||