Survey Summary |
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| Shipper Name: | David Calzada Pous | |
| Email: | davidcalzadapous@yahoo.es | |
| Survey Date: | ||
| Origin Address: | Yitzhak Ben Dor St., 21/8 2nd floor Jerusalem |
Floor number #0; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Dresser | 1 | 0.65 | 68 | --------- | |
| Total | 0.65 | 68 | |||
| Air | |||||
| Mirror | 6 | 0.96 | 96 | --------- | |
| Linen | 3 | 0.3 | 31.5 | --------- | |
| Bed, King Size | 1 | 2.12 | 221 | --------- | |
| Sofa/ Couch, 3 Cushion | 1 | 1.7 | 177 | --------- | |
| Rugs, Large Roll or Pad | 2 | 0.68 | 71 | --------- | |
| Cushions | 2 | 0.36 | 37 | --------- | |
| Lamp, Floor or Pole | 1 | 0.11 | 12 | --------- | |
| Vacuum Cleaner | 1 | 0.17 | 17.5 | --------- | |
| Office Chair | 1 | 0.42 | 44 | --------- | |
| Desk | 1 | 0.99 | 103 | --------- | |
| Sofa/ Couch, 3 Cushion | 1 | 1.7 | 177 | --------- | |
| High Chair | 1 | 0.34 | 35.5 | --------- | |
| Ornaments | 1 | 0.1 | 10.5 | --------- | |
| Total | 9.95 | 1034.5 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 0 | ||||
| Medium Box | 4 | ||||
| Large Box | 2 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 0 | ||||