Survey Summary |
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| Shipper Name: | Adam Riffle IRGBL Sirva | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | 23 BNEI MOSHE ST Tel Aviv |
Floor number #0; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Air | |||||
| Ornaments | 3 | 0.3 | 31.5 | --------- | |
| Clothes | 4 | 0.4 | 42 | --------- | |
| Guitar | 1 | 0.2 | 20.5 | --------- | |
| Total | 0.9 | 93.5 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 0 | ||||
| Medium Box | 7 | ||||
| Large Box | 0 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 0 | ||||